Organization
OSPREY EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BYRNE MD (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1132
(863) 687-1439
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259486200
—
FL
01
—
45293
BLUE SHIELD
FL
Enumeration date
05/08/2006
Last updated
09/11/2019
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