Organization
NES OF SOUTHERN FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MORRA (PRESIDENT/CEO)
(800) 377-8721
Entity
Organization
Contact information
Practice address
5900 COLLEGE RD, KEY WEST, FL 33040-4342
(305) 294-5531
Mailing address
PO BOX 550968, TAMPA, FL 33655-0968
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45754
GROUP BCBS #
FL
Enumeration date
11/15/2005
Last updated
12/13/2007
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