Organization
ENGLEWOOD EMERGENCY PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDAL STILES MEDICAL DOCTOR (MEDICAL DIRECTOR)
(941) 473-5000
Entity
Organization
Contact information
Practice address
700 MEDICAL BLVD, ENGLEWOOD, FL 34223-3964
(800) 476-8646
(919) 382-3210
Mailing address
PO BOX 552142, TAMPA, FL 33655-0001
(800) 476-8646
(919) 382-3210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME70191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34531
BCBS
FL
Enumeration date
05/23/2005
Last updated
08/10/2007
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