Organization
FLORIDIAN EMERGENCY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER PAUL MURRAY (CHIEF OPERATING OFFICER)
(770) 874-5400
Entity
Organization
Contact information
Practice address
110 LONGWOOD AVE, ROCKLEDGE, FL 32955-2828
(321) 636-2211
Mailing address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5439
(770) 874-5483
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001534501
—
FL
Enumeration date
03/02/2011
Last updated
03/02/2011
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