Organization
GRANDALE EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MEADOWS (VICE PRESIDENT)
(800) 507-8874
Entity
Organization
Contact information
Practice address
1500 LEE BLVD, LEHIGH ACRES, FL 33936-4835
(239) 368-4410
(239) 368-4420
Mailing address
PO BOX 41579, PHILADELPHIA, PA 19101-1579
(800) 507-8874
(727) 507-3630
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
08/22/2020
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