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
3301 OVERSEAS HWY, MARATHON, FL 33050-2329
(305) 743-5533
(305) 289-0630
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
—
45754A
BCBS GROUP #
FL
Enumeration date
06/03/2006
Last updated
12/13/2007
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