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Organization

THE GALEN GROUP

Active
Other names
ExpressCare
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDMOND K SAFARIAN MD (CEO)
(850) 797-2123
Entity
Organization

Contact information

Practice address
536 SEA WINDS DR, SANTA ROSA BEACH, FL 32459-4395
(850) 797-2123
(850) 391-5100
Mailing address
536 SEA WINDS DR, SANTA ROSA BEACH, FL 32459-4395
(850) 797-2123
(850) 391-5100

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
85762
FL
207Q00000X
Family Medicine Physician
85762
FL
207QA0401X
Addiction Medicine (Family Medicine) Physician
85762
FL
207QA0505X
Adult Medicine Physician
85762
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
536SWD
FL
Enumeration date
09/24/2009
Last updated
09/24/2009
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