Emergency Providers Group Llc

LBN: Emergency Providers Group Llc
Emergency Providers Group Llc is an health care organization with primary practice located at 1000 Mar Walt Dr , Fort Walton Beach FL 32547-6708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Emergency Providers Group Llc can be contacted via phone (850) 862-1111, or through Penkhus, Mark via phone (615) 344-9551.

Contact Information

Primary practice address
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708
Phone: (850) 862-1111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Penkhus, Mark
Phone: (615) 344-9551

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1164711206
LBN Legal business name Emergency Providers Group Llc
DBA Doing business as
Authorized official Penkhus, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2011
Last updated Apr 29th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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