Organization
PALM HARBOR EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY R MEADOWS MD (VICE-PRESIDENT)
(727) 507-3600
Entity
Organization
Contact information
Practice address
14000 FIVAY RD, HUDSON, FL 34667-7103
(727) 819-2929
Mailing address
PO BOX 42909, PHILADELPHIA, PA 19101-2909
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72530
BLUE SHIELD
FL
Enumeration date
06/11/2006
Last updated
03/24/2008
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