Florida Em-I Medical Services, P.A.
Nurse Practitioner in Fort Walton Beach, FL. Organization (NPI-2).
NPI number1972935948
StatusActive
Last updated in NPPESAug 1, 2013
Details
- NPI
- 1972935948
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Em-I Medical Services, P.A.
- Organization subpart
- No
- Enumeration date
- Aug 1, 2013
- Last updated
- Aug 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
1000 Mar Walt DrFort Walton Beach, FL 32547-6708
Phone 850-863-7610
Mailing address
815 S Palafox StSte 300
Pensacola, FL 32502-5960
Phone 800-444-7009 · Fax 800-305-3233
Authorized official
Gregory J. Byrne
President
8004447009
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