NPIMap

Organization Active NPI

Emergent Physicians of Country Walk, LLC

  • Emergency Medicine Physician
  • Miami, FL
National Provider Identifier
1114497005
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EMERGENT PHYSICIANS OF COUNTRY WALK, LLC
Practice address
14150 SW 136TH St
Miami, FL 33186-5506
Phone
(786) 204-4600
NPI assigned
Dec 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Gabriela Picado
Title
Office Manager
Phone
(786) 888-8820

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
Pediatric Emergency Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PP0204X

Addresses

Primary practice location

14150 SW 136TH St
Miami, FL 33186-5506

Mailing address

PO Box 161624
Altamonte Springs, FL 32716-1624
Phone (877) 346-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190506001701 FL Part B Supplier - Clinic/Group Practice 4688916091 Receives reassigned benefits from 104 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

14100 SW 136th St
Miami, FL 33186
Phone (305) 273-2223

Practitioners & affiliated clinicians

Practitioners 108

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 108

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1114497005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161624",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327161624",
            "telephone_number": "877-346-2211",
            "fax_number": "786-591-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 SW 136TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865506",
            "telephone_number": "786-204-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENT PHYSICIANS OF COUNTRY WALK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "PICADO",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "786-888-8820"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.