Organization
EMERGENCY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS J RE PA (MANAGING MEMBER)
(407) 791-1543
Entity
Organization
Contact information
Practice address
141 AVENUE C SW, SUITE 160, WINTER HAVEN, FL 33880-3258
(863) 268-8259
Mailing address
2901 PLANTATION RD, WINTER HAVEN, FL 33884-1233
(407) 791-1543
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9103254
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q44344
—
FL
Enumeration date
09/05/2012
Last updated
04/11/2013
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