Southland Medical Solutions of Al PL

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

SOUTHLAND MEDICAL SOLUTIONS OF AL PL

Practice address

7004 NW 52ND Ter
Gainesville, FL 32653-7008

Phone

(205) 907-2586

Fax

(205) 678-2700

NPI assigned

Jun 14, 2008

Organization subpart

Yes

Parent organization

SOUTHLAND MEDICAL SOLUTIONS OF FL PLAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Duane Hart, M.D.

Title

President and Ceo

Phone

(850) 499-0825

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213401600000",
    "number": "1033379813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 NW 52ND TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326537008",
            "telephone_number": "205-907-2586",
            "fax_number": "205-678-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 NW 52ND TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326537008",
            "telephone_number": "205-907-2586",
            "fax_number": "205-678-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND MEDICAL SOLUTIONS OF AL PL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHLAND MEDICAL SOLUTIONS OF FL PL",
        "enumeration_date": "2008-06-14",
        "last_updated": "2008-06-14",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "850-499-0825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.