# WEST 49TH STREET E.R. PHYSICIAN CORP.

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

## Provider details

- **NPI number:** 1922128826
- **Authorized official:** MR. MARK EARLY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (305) 824-4703

## Contact information

- **Practice address:** 1475 W 49TH ST, HIALEAH, FL 33012-3222
- **Practice address phone:** (305) 558-2500
- **Practice address fax:** (305) 826-9002
- **Mailing address:** 1475 W 49TH ST, HIALEAH, FL 33012-3222
- **Mailing address phone:** (305) 558-2500
- **Mailing address fax:** (305) 826-9002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 282N00000X | General Acute Care Hospital | — | NULL | — |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 10/29/2012