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LAKE OLIVER EMERGENCY GROUP LLC NPI 1013675016


NPI Information

NPI: 1013675016
Provider Name: LAKE OLIVER EMERGENCY GROUP, LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 325-5000
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LAKE OLIVER EMERGENCY GROUP, LLC is an emergency medicine in Tallahassee, FL. The provider is 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. LAKE OLIVER EMERGENCY GROUP, LLC NPI is 1013675016. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL
ZIP 32308-402
Phone: (850) 325-5000
Fax: (850) 656-5198

The provider's authorized official is Lisha C Falk .
The authorized official title is Vp Of Contracting and has the following contact phone number (337) 609-1221.

The enumeration date for this NPI number is 12/7/2021 and was last updated on 9/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0004XEmergency MedicineEmergency Medical ServicesNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4207P00000XEmergency MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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