Florida Em-I Medical Services, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

FLORIDA EM-I MEDICAL SERVICES, PA

Practice address

3625 University Blvd S
Jacksonville, FL 32216-4207

Phone

(904) 399-6111

NPI assigned

Jul 22, 2013

Last updated

Jul 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory J. Byrne

Title

M.D./President

Phone

(800) 507-8874

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1740622547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18167 US HIGHWAY 19 N",
            "address_2": "SUITE 650",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643528",
            "telephone_number": "800-507-8874",
            "fax_number": "727-536-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164207",
            "telephone_number": "904-399-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA EM-I MEDICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "M.D./PRESIDENT",
        "authorized_official_telephone_number": "800-507-8874"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Department of Health
• Florida Em-I Medical Services PA
• Florida Em-I Medical Services PA
• Florida Em-I Medical Services PA
• Florida Em-I Medical Services, PA
• Florida Em-I Medical Services, PA
• Florida Eye Specialists PA
• Florida Family Medical Supply LLC
• Florida Foot and Ankle,Inc
• Florida Gastroenterology Clinic LLC

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.