Whalio Doctors

NPI 1619287158

Ipn Emergency Physicians of North Florida PA

Organisation Emergency Medicine Physician Starke, FL

Practice location

Address
922 E Call St, Starke, FL 32091-3616
Phone
(904) 368-2324
Mailing address
14050 NW 14th St Suite 190, Sunrise, FL 33323-2865

Authorised official

Name
Stephen G. Holtzclaw
Title
President
Phone
(800) 424-3672

Registered specialties (3)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Registry record

NPI
1619287158
Entity type
Organization
NPI issued
18 Oct 2010
Record last updated
18 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.