Individual
MAX T BILLINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SHIRCLIFF WAY, EMERGENCY DEPARTMENT, JACKSONVILLE, FL 32204-4748
(904) 346-5426
(904) 346-0113
Mailing address
PO BOX 863026, ORLANDO, FL 32886-3026
(904) 346-5426
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
ME0045015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044556800
—
FL
01
—
14148
BCBS
FL
01
—
930000750
RRMCR
FL
Enumeration date
05/03/2006
Last updated
12/01/2008
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