STERLING EMERGENCY SERVICES OF FLORIDA, PA - NPI NUMBER 1336134386

Summary

Provider Name: STERLING EMERGENCY SERVICES OF FLORIDA, PA

NPI Number: 1336134386

Clasification: Emergency Medicine (207P00000X)

Address:
340 NW COMMERCE DR
LAKE CITY, FL
ZIP 32055

Phone Number: (386) 752-0434



Detailed Information

STERLING EMERGENCY SERVICES OF FLORIDA, PA is an emergency physician in Lake City, FL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. The assigned NPI number for this provider is 1336134386 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

340 NW COMMERCE DR
LAKE CITY, FL
ZIP 32055-709
Phone: (386) 752-0434

The provider's authorized official is Stephen Dresnick .
The authorized official title is President/owner and has the following contact phone number (866) 396-6473.

The enumeration date for this NPI number is 9/15/2005 and was last updated on 4/20/2008.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207P00000X Emergency Medicine Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 DC6950 OTHER FL RR MCR GROUP
2 74985D OTHER FL BCBS GROUP
3 74985E MEDICARE ID-TYPE UNSPECIFIED FL MEDICARE GROUP
4 =========001 OTHER FL CHAMPUS GROUP

NPI Record

No. Field Name Field Value
1 NPI 1336134386
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name STERLING EMERGENCY SERVICES OF FLORIDA, PA
5 Provider First Line Business Practice Location Address 340 NW COMMERCE DR
6 Provider Business Practice Location Address City Name LAKE CITY
7 Provider Business Practice Location Address State Name FL
8 Provider Business Practice Location Address Postal Code 320554709
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 3867520434
11 Provider Enumeration Date 9/15/2005
12 Last Update Date 4/20/2008
13 Authorized Official Last Name DRESNICK
14 Authorized Official First Name STEPHEN
15 Authorized Official Title or Position PRESIDENT/OWNER
16 Authorized Official Telephone Number 8663966473
17 Healthcare Provider Taxonomy Code 1 207P00000X
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Other Provider Identifier 1 DC6950
20 Other Provider Identifier Type Code 1 01
21 Other Provider Identifier State 1 FL
22 Other Provider Identifier Issuer 1 RR MCR GROUP
23 Other Provider Identifier 2 74985D
24 Other Provider Identifier Type Code 2 01
25 Other Provider Identifier State 2 FL
26 Other Provider Identifier Issuer 2 BCBS GROUP
27 Other Provider Identifier 3 74985E
28 Other Provider Identifier Type Code 3 04
29 Other Provider Identifier State 3 FL
30 Other Provider Identifier Issuer 3 MEDICARE GROUP
31 Other Provider Identifier 4 =========001
32 Other Provider Identifier Type Code 4 01
33 Other Provider Identifier State 4 FL
34 Other Provider Identifier Issuer 4 CHAMPUS GROUP
35 Authorized Official Name Prefix Text DR.
36 Authorized Official Credential Text MD
37 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.