Active NPI
Florida Emergency Consultants LLP
- Emergency Medicine Physician
- Clewiston, FL
National Provider Identifier
1780970616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- FLORIDA EMERGENCY CONSULTANTS LLP
- Practice address
- 524 W Sagamore Ave
Clewiston, FL 33440-3514 - Phone
- (863) 983-9121
- Fax
- (863) 983-1809
- NPI assigned
- Jun 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Derik K King, MD
- Title
- LLP Managing Partner
- Phone
- (800) 701-3381
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
524 W Sagamore Ave
Clewiston, FL 33440-3514
Mailing address
75 Remit Dr # 1367
Chicago, IL 60675-1367
Phone (800) 701-3381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277866101 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312502400000",
"number": "1780970616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMIT DR # 1367",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606751367",
"telephone_number": "800-701-3381",
"fax_number": "231-922-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 W SAGAMORE AVE",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334403514",
"telephone_number": "863-983-9121",
"fax_number": "863-983-1809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA EMERGENCY CONSULTANTS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-20",
"last_updated": "2011-08-05",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "DERIK",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "LLP MANAGING PARTNER",
"authorized_official_telephone_number": "800-701-3381",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277866101",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clewiston, FL
- Jean Rodriguez Fleurinor, M.D.
- Florida Community Health Centers Inc
- Florida Community Health Centers, Inc.
- Florida Elder Care & Wellness LLC
- Florida Emergency Consultants LLP
- Florida United Radiology, LC
- Ian S Fried, FNP-BC, INP
- Marice Garcia Valdes
- Evelin Garcia, PT, DPT
- Mary Grace Del Rosario Garzon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.