Rockledge Emergency Group LLC
Emergency Medicine in Rockledge, FL. Organization (NPI-2).
NPI number1306200522
StatusActive
Last updated in NPPESMay 17, 2021
Details
- NPI
- 1306200522
- Entity type
- Organization (NPI-2)
- Legal business name
- Rockledge Emergency Group LLC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2016
- Certification date
- May 17, 2021
- Last updated
- May 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
110 Longwood AveRockledge, FL 32955-2828
Phone 321-636-2211
Mailing address
200 Corporate BlvdLafayette, LA 70508-3870
Phone 800-893-9698
Authorized official
Lisha Falk
Vp Of Contracting
8008939698
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All 14 Emergency Medicine Physician providers in Rockledge · All 1,465 providers in Rockledge
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