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EMERGENT PHYSICIANS OF COUNTRY WALK LLC NPI 1114497005


NPI Information

NPI: 1114497005
Provider Name: EMERGENT PHYSICIANS OF COUNTRY WALK, LLC
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
14150 SW 136TH ST
MIAMI, FL
ZIP 33186
Phone: (786) 204-4600
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EMERGENT PHYSICIANS OF COUNTRY WALK, LLC is an emergency medical services emergency medicine in Miami, FL. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. EMERGENT PHYSICIANS OF COUNTRY WALK, LLC NPI is 1114497005. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14150 SW 136TH ST
MIAMI, FL
ZIP 33186-506
Phone: (786) 204-4600

The provider's authorized official is David Raymond Nateman .
The authorized official title is Owner and has the following contact phone number (786) 888-8820.

The enumeration date for this NPI number is 12/4/2018 and was last updated on 10/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineNo
2207PP0204XEmergency MedicinePediatric Emergency MedicineNo
3207PE0004XEmergency MedicineEmergency Medical ServicesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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.