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Cape Coral Emergency Physicians LLC

Emergency Medicine in Cape Coral, FL. Organization (NPI-2).

NPI number1376611962
StatusActive
Last updated in NPPESSep 17, 2021

Details

NPI
1376611962
Entity type
Organization (NPI-2)
Legal business name
Cape Coral Emergency Physicians LLC
Organization subpart
No
Enumeration date
Dec 1, 2006
Certification date
May 7, 2021
Last updated
Sep 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

636 Del Prado Blvd S
Cape Coral, FL 33990-2668

Phone 239-772-6513

Mailing address

Po Box 9536
Daytona Beach, FL 32120-9536

Phone 386-274-7800 · Fax 833-547-6530

Authorized official

Timothy Dougherty
Medical Director
2394243513

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