Organization
EMERGENCY PHYSICIAN SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH PLUMMER (COO)
(407) 390-1677
Entity
Organization
Contact information
Practice address
40100 HIGHWAY 27, DAVENPORT, FL 33837
(863) 422-4971
Mailing address
8390 CHAMPIONS GATE BLVD, STE 306, CHAMPIONS GATE, FL 33896
(407) 390-1677
(407) 390-1765
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257859002
—
FL
01
—
38899
BCBS
FL
Enumeration date
02/28/2006
Last updated
10/16/2018
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