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1164711206
EMERGENCY PROVIDERS GROUP LLC
FORT WALTON BEACH, FL
NPI
1164711206
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Entity Type
Organization
Authorized Contact
MARK PENKHUS
Vice President
615-344-9551
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2011-03-29
Last Update Date
2011-04-29
Business Address
EMERGENCY PROVIDERS GROUP LLC
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547-6708
Phone number: 850-862-1111
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Mailing Address
EMERGENCY PROVIDERS GROUP LLC
PO BOX 741630
ATLANTA, GA 30374-1630
Phone number:
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