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Organization

GRANDIFLORA EMERGENCY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY BYRNE (PRESIDENT)
(214) 712-2000
Entity
Organization

Contact information

Practice address
150 REYNOIR ST, BILOXI, MS 39530-4130
(228) 436-1191
(228) 436-1205
Mailing address
18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
(800) 507-8874
(727) 536-2896

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09485807
MS
Enumeration date
05/08/2006
Last updated
03/16/2009
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