Organization
FLAMINGO EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN HOMANSKY MD (GENERAL PARTNER)
(805) 563-3011
Entity
Organization
Contact information
Practice address
2075 E FLAMINGO RD, LAS VEGAS, NV 89119-5188
(702) 369-7647
Mailing address
3916 STATE ST, #300, SANTA BARBARA, CA 93105-5602
(805) 563-3011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
NV
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/13/2006
Last updated
07/30/2009
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