Organization · Type 2 NPI
Firemed of Southeast, LLC
Clinical & Laboratory Immunology (Internal Medicine) Physician · North Port, FL
NPI number
1013687177
Active
Practice location
2479 Trianna Street, Firemed Southeast
North Port, FL 34291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical & Laboratory Immunology (Internal Medicine) Physician Primary | 207RI0001X | None listed |
| Community Health Clinic/Center | 261QC1500X | None listed |
| Point of Service | 305S00000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
Clinical & Laboratory Immunology (Internal Medicine) Physician: An internal medicine physician who specializes in clinical and laboratory immunology disease management.
About NPI 1013687177
Firemed of Southeast, LLC's National Provider Identifier is 1013687177, issued on Sep 20, 2021. The primary taxonomy on file is Clinical & Laboratory Immunology (Internal Medicine) Physician (207RI0001X), and the practice location is in North Port, FL. The record was last updated on Sep 20, 2021.