# EMERGENCY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336498344
- **Authorized official:** DOUGLAS J RE PA (MANAGING MEMBER)
- **Authorized official phone:** (407) 791-1543

## Contact information

- **Practice address:** 141 AVENUE C SW, SUITE 160, WINTER HAVEN, FL 33880-3258
- **Practice address phone:** (863) 268-8259
- **Mailing address:** 2901 PLANTATION RD, WINTER HAVEN, FL 33884-1233
- **Mailing address phone:** (407) 791-1543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 9103254 | FL | Yes |

## Other

- **Enumeration date:** 09/05/2012
- **Last updated:** 04/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | Q44344 | — | FL |
