Organization
FLORIDA EM-I MEDICAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MEADOWS MD (VICE PRESIDENT)
(727) 507-3637
Entity
Organization
Contact information
Practice address
340 NW COMMERCE DR, LAKE CITY, FL 32055-4709
(386) 719-9393
Mailing address
PO BOX 42909, PHILADELPHIA, PA 19101-2909
(727) 507-3606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
07/28/2009
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