Organization
EMERGENCY & ACUTE CARE MEDICAL COMPANY - SOUTHEAST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR LAWRENCE GRUEN M.D. (PRESIDENT)
(858) 759-4765
Entity
Organization
Contact information
Practice address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(407) 767-1200
Mailing address
PO BOX 82626, SAN DIEGO, CA 92138-2626
(619) 285-5990
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270995301
—
FL
Enumeration date
05/15/2006
Last updated
04/26/2018
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