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Organization

EXCALIBUR TELEMEDICAL SERVICES

Active
Other names
Excalibur Telemedical Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIM LANDRY MD (PRESIDENT/CEO)
(850) 982-9384
Entity
Organization

Contact information

Practice address
405 WATERFORD LN, GULF BREEZE, FL 32561-4872
(850) 982-9384
(850) 934-0711
Mailing address
405 WATERFORD LN, GULF BREEZE, FL 32561-4872
(850) 982-9384
(850) 934-0711

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician

Other

Enumeration date
04/16/2020
Last updated
04/16/2020
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