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Organization

SOUTH GULF COAST EMERGENCY PHYSICIANS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS SCHAAR MD (PRESIDENT)
(866) 266-9879
Entity
Organization

Contact information

Practice address
13681 DOCTORS WAY, FT MYERS, FL 33912-4300
(239) 768-8611
Mailing address
P.O. BOX 634748, CINCINNATI, OH 45263-0001

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00240
BCBS GROUP
FL
05
064524900
FL
01
CC9721
RR MCR GROUP
FL
Enumeration date
09/15/2005
Last updated
03/04/2009
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