Organization
FLORIDA EM-I MEDICAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MEADOWS (VICE PRESIDENT)
(727) 507-3610
Entity
Organization
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-5155
Mailing address
18167 US HIGHWAY 19 N, CLEARWATER, FL 33764-3528
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/21/2007
Last updated
02/08/2008
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