Organization
WEST 49TH STREET E.R. PHYSICIAN CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK EARLY (CHIEF FINANCIAL OFFICER)
(305) 824-4703
Entity
Organization
Contact information
Practice address
1475 W 49TH ST, HIALEAH, FL 33012-3222
(305) 558-2500
(305) 826-9002
Mailing address
1475 W 49TH ST, HIALEAH, FL 33012-3222
(305) 558-2500
(305) 826-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059554300
—
FL
Enumeration date
04/02/2007
Last updated
10/29/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us