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PARAGON EMERGENCY SERVICES LLC NPI 1912101650


NPI Information

NPI: 1912101650
Provider Name: PARAGON EMERGENCY SERVICES LLC

Former Legal Business Name: PARAGON EMERGENCY SERVICES INC

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
200 AVENUE F NE
WINTER HAVEN, FL
ZIP 33881
Phone: (863) 293-1121
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PARAGON EMERGENCY SERVICES LLC is an emergency medicine in Winter Haven, 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. PARAGON EMERGENCY SERVICES LLC NPI is 1912101650. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Paragon Emergency Services Inc.

The provider's business location address is:

200 AVENUE F NE
WINTER HAVEN, FL
ZIP 33881-131
Phone: (863) 293-1121

The provider's authorized official is Michael D Corvini .
The authorized official title is President and has the following contact phone number (800) 424-3672.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 10/1/2020.


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
1208000000XPediatricsNo
22080P0204XPediatricsPediatric Emergency MedicineNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1280167100MEDICAIDFLORIDA
2280167102MEDICAIDFLORIDA
3DH0458OTHERFLORIDARAILROAD MEDICARE

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

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