4MD2 PHYSICIAN SERVICES OF FORT WALTON BEACH LLC - NPI 1568420735 - Emergency Medicine in Fort Walton Beach, FL

Q: What is 4md2 Physician Services Of Fort Walton Beach LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

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About 4md2 Physician Services Of Fort Walton Beach Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

4MD2 PHYSICIAN SERVICES OF FORT WALTON BEACH LLC (NPI 1568420735) is a healthcare organization registered as an emergency medicine in Fort Walton Beach, Florida and active in the NPI registry since May 2006. The organization lists Guy Duwane Hooper, President, as its authorized official.

NPPES Registry Identity

NPI1568420735

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business Name4MD2 PHYSICIAN SERVICES OF FORT WALTON BEACH LLC

Location Address1000 MAR WALT DRFort Walton Beach, FL 32547-6708

Mailing AddressPo Box 88452Chicago, IL 60680-1452 · (205) 437-6098 · Fax (205) 437-5998

Phone(850) 863-7607

Fax(205) 437-5998

Organization SubpartNo

Authorized OfficialGuy Duwane HooperPresident · (205) 437-6098

Enumeration DateMay 3, 2006

Last NPPES UpdateJuly 20, 2007

✔ NPI 1568420735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

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.

1000 MAR WALT DR, Fort Walton Beach, FL 32547

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Other Identifiers 6

OtherDE2947FL · Rrmc Group Number

Other7800781FL · Aetna Group Provider No

Medicare PINK9363FL

Other2622096FL · Unitedhealthcare Of Fl

OtherF938AL · Bcbs Group Provider No

Other97859FL · Bcbs Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA RUTH ANDERSON

Dietitian, Registered