Organization
EMERGENT PHYSICIANS OF COUNTRY WALK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELA PICADO (OFFICE MANAGER)
(786) 888-8820
Entity
Organization
Contact information
Practice address
14150 SW 136TH ST, MIAMI, FL 33186-5506
(786) 204-4600
Mailing address
PO BOX 161624, ALTAMONTE SPRINGS, FL 32716-1624
(626) 327-6795
(786) 591-6025
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
Other
Enumeration date
12/04/2018
Last updated
05/14/2026
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