Organization
ST. JOSEPH EMERGENCY MEDICAL PHYSICIANS PA
Active
Other names
Florida Regional Emergency Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DESANTIS M.D. (VICE PRESIDENT)
(866) 396-6418
Entity
Organization
Contact information
Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(305) 665-4614
Mailing address
PO BOX 919098, ORLANDO, FL 32891-9098
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371744500
—
FL
01
—
39502
BCBS
FL
Enumeration date
05/31/2006
Last updated
01/27/2021
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