LAKE OLIVER EMERGENCY GROUP, LLC

TALLAHASSEE, FL
NPI1548921034
Other NameCAPITAL REGIONAL MEDICAL CENTER SOUTHWOOD ER
Entity TypeOrganization
Authorized ContactLISHA C FALK
VP Of Contracting
337-609-1221
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
Additional Taxonomies207PE0004X Emergency Medicine, Emergency Medical Services
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2022-01-06
Last Update Date2022-09-27
Business Address
LAKE OLIVER EMERGENCY GROUP, LLC
2674 CAPITAL CIR SE
TALLAHASSEE, FL 32311-7802
Phone number: 850-404-5800
Mailing Address
LAKE OLIVER EMERGENCY GROUP, LLC
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 337-609-1153