Fremont Peak Emergency Physicians LLC
Emergency Medicine in Newberry, FL. Organization (NPI-2).
NPI number1760891758
StatusActive
Last updated in NPPESAug 25, 2019
Details
- NPI
- 1760891758
- Entity type
- Organization (NPI-2)
- Legal business name
- Fremont Peak Emergency Physicians LLC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2014
- Last updated
- Aug 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
12311 W Newberry RoadNewberry, FL 32669
Phone 469-401-2386
Mailing address
13737 Noel RdSte 1600
Dallas, TX 75240-1331
Phone 954-838-2371
Authorized official
Douglas J Smith
Vice President
9548382371
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