Southland Emergency Medical Services of FL PL

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHLAND EMERGENCY MEDICAL SERVICES OF FL PL

Practice address

1706 15TH St
Niceville, FL 32578-3677

Phone

(850) 499-0825

Fax

(229) 377-0058

NPI assigned

Feb 6, 2008

Last updated

Jun 11, 2008By 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

Mr. Paul D Hart, MDNPI 1629021415

Title

Ceo & President

Phone

(850) 499-0825

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Paul D Hart, MD

  • Emergency Medicine Physician
  • Niceville, FL
  • NPI 1629021415
  NPD (past) Authorized official

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1942488432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398280501",
            "telephone_number": "229-977-6692",
            "fax_number": "229-377-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 15TH ST",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783677",
            "telephone_number": "850-499-0825",
            "fax_number": "229-377-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND EMERGENCY MEDICAL SERVICES OF FL PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "850-499-0825",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Smith, PHARMD
• Joan Marie Sonnier, M.S. , RMFT I
• Rustin G Sorensen, PA-C
• Southcoast Allergy PA
• Southern Breeze Healthcare
• Spectrum House, Inc
• Speech at the Beach
• Rachel Sperry, OTD, OTR/L
• Gregory Spires, APRN FNP-C
• Gregory W Spivey Jr

• Family Medicine Physician in Niceville, FL
• Providers in Niceville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.