Lake Oliver Emergency Group, LLC

NPI #1013675016 in Tallahassee, Florida

Provider Information

NPI Number
1013675016
Entity Type
Organization
Organization Name
Lake Oliver Emergency Group, LLC
Primary Specialty
Emergency Medicine
Enumeration Date
Dec 7, 2021
Last Updated
Sep 27, 2022

Practice Location

Address
2626 CAPITAL MEDICAL BLVD
State
Florida
ZIP Code
32308-4402
Phone
(850) 325-5000

Authorized Official

Name
LISHA C FALK
Title
VP OF CONTRACTING
Phone
(337) 609-1221

Specialties & Taxonomy Codes

Specialty
Emergency Medicine - Emergency Medical ServicesEmergency Medical Services
Physician Assistant
Nurse Practitioner
Emergency Medicine

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