Organization
EMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY, LLC
Active
Other names
Excelis Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DION RICHARD SAMERSON MD (CHIEF EXECUTIVE OFFICER)
(813) 874-5707
Entity
Organization
Contact information
Practice address
3001 W. DR. MARTIN LUTHER KING JR. BLVD, TAMPA, FL 33607-6307
(813) 870-4000
Mailing address
P.O. BOX 24748, TAMPA, FL 33623
(813) 874-5707
(813) 874-5908
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/10/2011
Last updated
10/23/2023
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