FLORIDIAN EMERGENCY SPECIALISTS LLC (NPI# 1710210695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710210695 |
| Entity Type | Organization |
| Organization Name | FLORIDIAN EMERGENCY SPECIALISTS LLC |
| Practice Address |
250 N Wickham Rd Melbourne FL 32935-8625 |
| Mailing Address |
5665 New Northside Dr Nw Suite 320 Atlanta GA 30328-5831 |
| Practice Telephone | 7708745400 |
| Practice Fax Number | 7708745483 |
| Mailing Telephone | 7708745400 |
| Mailing Fax Number | 7708745483 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |
| Authorized Official Name | MR. ROGER PAUL MURRAY (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7708745400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
250 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-8625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848668 | Robert Bell | Emergency Medicine | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2005-06-01 |
| 1619507209 | Necmo Pa | Internal Medicine | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2020-01-22 |
| 1255898102 | Ronald Glen Gordon | Registered Nurse | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2019-02-27 |
| 1811461007 | Ann Maria Thomas | Nurse Practitioner | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2019-01-22 |
| 1972073716 | Steward Medical Group, Inc | Radiology | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-12-04 |
| 1437643640 | Caleb Quick | Nurse Practitioner | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-06-20 |
| 1538650940 | Lisa Collins Lancaster | Registered Nurse | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-05-21 |
| 1629565965 | Pietro Loesener | Nurse Practitioner | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-04-20 |
| 1215435870 | Khashaba LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-30 |
| 1790283661 | Dr Joseph D Paolucci Md Pa LLC | Hospitalist | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578857207 | Michael John Homerick | Emergency Medicine | 4230 Stoney Point Rd, Melbourne, FL 32940-1476 | 2011-05-28 |
| 1871704247 | David Scott Gettings | Emergency Medicine | 991 Thomas Barbour Dr, Melbourne, FL 32935-6966 | 2007-05-25 |
| 1558434217 | Robert Joseph Benkendorf | Emergency Medicine | 993 Fostoria Dr, Melbourne, FL 32940-1513 | 2006-11-17 |
| 1437260791 | John R Mcpherson | Emergency Medicine | 1350 S. Hickory Street, Melbourne, FL 32901 | 2006-08-31 |
| 1306848668 | Robert Bell | Emergency Medicine | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2005-06-01 |
| 1013321280 | Corey Alvarez | Emergency Medicine | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2014-06-16 |
| 1154744068 | Kali Rae D'onofrio | Emergency Medicine | 1350 Hickory St, Melbourne, FL 32901-3224 | 2014-01-28 |
| 1346686573 | Kevin Robert Norris Freels | Emergency Medicine | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2013-05-15 |
| 1750665477 | Brevard Hyperbarics LLC | Emergency Medicine | 1350 Hickory St, Melbourne, FL 32901-3224 | 2011-09-29 |
| 1487940060 | Robert C Ford IIi | Emergency Medicine | 1350 Hickory St, Melbourne, FL 32901-3224 | 2011-06-22 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.