Organization
SOUTHLAND EMS AT MADISON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HART M.D. (DIRECTOR)
(205) 907-2586
Entity
Organization
Contact information
Practice address
224 NW CRANE AVE, MADISON, FL 32340-1400
(850) 973-2271
Mailing address
PO BOX 5218, NICEVILLE, FL 32578-5218
(850) 897-7244
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2009
Last updated
09/07/2022
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