Organization
W4P LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT MCINTYRE (CFO)
(850) 602-0625
Entity
Organization
Contact information
Practice address
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(352) 795-6560
(386) 274-7801
Mailing address
PO BOX 9188, DAYTONA BEACH, FL 32120-9188
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
12/29/2025
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