Organization
EMCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI JACOBS (CREDENTIALING CONTACT)
(727) 437-3013
Entity
Organization
Contact information
Practice address
18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
(727) 437-3013
(727) 507-3618
Mailing address
18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
(727) 507-3618
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
7681
GA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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