Organization Name: | ST. JOSEPH EMERGENCY MEDICAL PHYSICIANS PA |
NPI Number: | 1053358903 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN DESANTIS (VICE PRESIDENT) |
Mailing Address: | 2500 Harbor Blvd Port Charlotte |
State: | FL US |
Postal Code: | 339525000 |
Phone Number: | 3056654614 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | 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. |