Organization
OBSERVATION MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DION RICHARD SAMERSON MD (AUTHORIZED OFFICIAL)
(813) 874-5707
Entity
Organization
Contact information
Practice address
6901 SIMMONS LOOP, RIVERVIEW, FL 33578-9498
(813) 302-8000
Mailing address
PO BOX 10855, DAYTONA BEACH, FL 32120-0855
(386) 274-7800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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