Ipn Emergency Physicians of North Florida PA

NPI #1619287158 in Starke, Florida

Provider Information

NPI Number: 1619287158
Entity Type: Organization
Organization Name: Ipn Emergency Physicians of North Florida PA
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 18, 2010
Last Updated: Oct 18, 2010

Practice Location

Address: 922 E CALL ST
City: Starke
State: Florida
ZIP Code: 32091-3616
Phone: (904) 368-2324

Authorized Official

Name: DR. STEPHEN G. HOLTZCLAW, MD
Title: PRESIDENT
Phone: (800) 424-3672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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