Tele911 Florida Emergency Medical Group, P.a.
Organization Active NPI Emergency Medicine Physician · Orlando, FL
NPI 1063174647 · NPPES record last updated Oct 11, 2022
Key facts
- NPI
- 1063174647
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- TELE911 FLORIDA EMERGENCY MEDICAL GROUP, P.A.
- Practice address
- 111 N Orange Ave Ste 800
Orlando, FL 32801-2381 - Phone
- (254) 835-3911
- NPI assigned
- Oct 11, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Marc Eckstein, MD
- Title
- President
- Phone
- (254) 835-3911
Practitioners 24
-
Christopher Joseph Amann, M.D.
-
Erik Blutinger, M.D., M.SC.
-
Kenneth John Gramyk, M.D.
-
Richard Giroux, D.O.
-
Daniel Aaron Grenier, D.O.
-
Matthew Andrew Holz, D.O.
-
Shaila Bhagwan Kirpalani, M.D.
-
Kim Landry, M D.
-
Robyn Levine, M.D.
-
Wesley Lyle Baber, M.D.
-
Hanna Charles Eadeh, M.D.
-
Padraic Gerety, M.D.
-
Mark G. Stavros, M. D.
-
Robert David Vichich, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211117002600 | FL | Part B Supplier - Clinic/Group Practice | 3274922992 |
Receives reassigned benefits from 24 practitioners Practice locations: Orlando, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Mailing address
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (254) 835-3911
Other providers in Orlando, FL
- Natalia Irina Tejada
- Mohamedtaki Abdulaziz Tejani
- Kaylie Tejeda
- Rafael Tejeda
- Valeria Andrea Tejeira
- Evelyn Jean Telemacque
- Teleradiology Specialists of the Southeast, PLLC
- Mario Telfair Jr.
- Tori Telfer
- Whitney Lashonda Telfort
All providers in Orlando, FL · Emergency Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.