Organization
OBSERVATION MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E MCCONNELL DO (CEO)
(813) 874-5707
Entity
Organization
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 870-4000
(386) 274-7801
Mailing address
PO BOX 10855, DAYTONA BEACH, FL 32120-0855
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
04/05/2016
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