Individual
DR. JEREMY FECHTER KIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 E FLETCHER AVE, SOUTHERN HILLS MEDICAL CENTER EMERGENCY DEPARTMENT, TAMPA, FL 33613-4613
(813) 971-6000
(813) 972-5753
Mailing address
12479 TELECOM DR, TEMPLE TERRACE, FL 33637-0913
(813) 972-4199
(813) 972-5753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD433105
PA
207P00000X
Emergency Medicine Physician
MD44956
TN
207P00000X
Emergency Medicine Physician
Primary
ME108993
FL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD433105
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14EX1
BCBS FLORIDA
FL
Enumeration date
05/15/2008
Last updated
08/17/2011
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