# FLORIDA EM-I MEDICAL SERVICES PA

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

## Provider details

- **NPI number:** 1811122047
- **Authorized official:** TERRY MEADOWS MD (VICE PRESIDENT)
- **Authorized official phone:** (727) 507-3637

## Contact information

- **Practice address:** 340 NW COMMERCE DR, LAKE CITY, FL 32055-4709
- **Practice address phone:** (386) 719-9393
- **Mailing address:** PO BOX 42909, PHILADELPHIA, PA 19101-2909
- **Mailing address phone:** (727) 507-3606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2009
- **Last updated:** 07/28/2009