Organization Active NPI

Nes of Southern Florida PA

  • Emergency Medicine Physician
  • Marathon, FL
National Provider Identifier
1225076284
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NES OF SOUTHERN FLORIDA PA
Practice address
3301 Overseas Hwy
Marathon, FL 33050-2329
Phone
(305) 743-5533
Fax
(305) 289-0630
NPI assigned
Jun 3, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Vincent Morra
Title
President, Ceo
Phone
(800) 377-8721

Specialties & licenses 1

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

Addresses

Primary practice location

3301 Overseas Hwy
Marathon, FL 33050-2329

Mailing address

PO Box 550968
Tampa, FL 33655-0968
Phone (800) 377-8721

Other identifiers 1

IdentifierTypeStateIssuer
45754AOtherFLBCBS GROUP #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1225076284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550968",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336550968",
            "telephone_number": "800-377-8721",
            "fax_number": "304-523-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502329",
            "telephone_number": "305-743-5533",
            "fax_number": "305-289-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NES OF SOUTHERN FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "MORRA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "800-377-8721"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "45754A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.