Organization
NW FLORIDA EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISHA C FALK (VICE PRESIDENT)
(337) 609-1221
Entity
Organization
Contact information
Practice address
6002 BERRYHILL RD, MILTON, FL 32570-5062
(850) 626-7762
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000LT
BCBS
FL
05
—
116975
—
AL
01
—
DQ0330
RAILROAD MEDICARE
FL
Enumeration date
01/28/2010
Last updated
04/29/2026
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