Eagle Peak Emergency Physicians LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EAGLE PEAK EMERGENCY PHYSICIANS LLC

Practice address

8460 Champions Gate Blvd
Champions Gate, FL 33896-9301

Phone

(407) 530-2000

NPI assigned

Jun 23, 2021

Organization subpart

No

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

Authorized official

Name

Cynthia Butcher

Title

Ao

Phone

(973) 251-1132

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1831768878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 CENTERVIEW DR STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063563",
            "telephone_number": "973-251-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 CHAMPIONS GATE BLVD",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338969301",
            "telephone_number": "407-530-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE PEAK EMERGENCY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "973-251-1132"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyarika Doby
• Luis Guillermo Doria, PHARMACIST
• Chynney Dorvil, BEHAVIOR TECHNICIAN
• Dr Pales Healthcare Provider
• Eagle Peak Emergency Physicians LLC
• Ketnie Elie
• Lesley Marie Estrada Cruz, BEHAVIOR TECHNICIAN
• Anosline Eugene
• Elexis Victoria Evans
• Joe Ferrante

• Emergency Medicine Physician in Champions Gate, FL
• Providers in Champions Gate, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.