Doctor Name: | ELEONORA HACKMAN-KERBYSON |
NPI Number: | 1720020852 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 2003014738 |
Business Practice Address: | 2450 Tamiami Trl Ste A Port Charlotte, FL - 339523922 |
Business Phone Number: | 9416242704 |
Business Fax Number: | 9416276066 |
Mailing Address: | 3434 Hancock Bridge Pkwy, Ste 301 N FORT MYERS |
State: | FL |
Postal Code: | 339037094 |
Phone Number: | 8778563774 |
Fax Number: | 2395992625 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 02/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207P00000X |
License Number: | 2003014738 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |