Organization
PELICAN COAST EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BYRNE M.D. (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
13695 US HIGHWAY 1, SEBASTIAN, FL 32958-3230
(772) 581-2044
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277281700
—
FL
01
—
98218
BLUE SHIELD
FL
Enumeration date
10/16/2006
Last updated
12/24/2013
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