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Organization

SABAL PALM EMERGENCY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY MEADOWS (VP, GENERAL PARTNER)
(727) 507-3637
Entity
Organization

Contact information

Practice address
13100 FORT KING RD, DADE CITY, FL 33525-5294
(352) 521-1150
Mailing address
18167 US HIGHWAY 19 N, SUITE 285, CLEARWATER, FL 33764-3528

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
97800
BLUE SHIELD
FL
Enumeration date
10/01/2007
Last updated
04/20/2008
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