Organization
PARAGON EMERGENCY SERVICES LLC
Active
Other names
Paragon Emergency Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D CORVINI M.D. (PRESIDENT)
(800) 424-3672
Entity
Organization
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
Mailing address
1643 NW 136TH AVE STE 100, SUNRISE, FL 33323-2857
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280167100
—
FL
05
—
280167102
—
FL
01
—
DH0458
RAILROAD MEDICARE
FL
Enumeration date
06/14/2007
Last updated
10/01/2020
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