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Contact Information

FC EMERGENCY PHYSICIANS LLC
17240 CORTEZ BLVD
BROOKSVILLE, FL34601
 Phone: 352-796-5111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for FC EMERGENCY PHYSICIANS LLC

NPI Number 1871776872
LBN Legal business name FC EMERGENCY PHYSICIANS LLC
Authorized official JOSEPH GATEWOOD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2007
Last updated 12/24/2013 - About 12 years ago
Identifiers
FL Medicaid 280632100
FL Other 21670 BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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