Organization
VIRGINA EM-I MEDICAL SERVICES, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J BYRNE (PRESIDENT/MD)
(800) 507-8874
Entity
Organization
Contact information
Practice address
18167 US HIGHWAY 19 N, SUITE #650, CLEARWATER, FL 33764-3528
(727) 437-0818
Mailing address
3700 S MAIN ST, BLACKSBURG, VA 24060-7017
(540) 951-1111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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