Provider Demographics
NPI:1144507054
Name:PEDIATRIC EMERGENCY PROVIDERS, INC.
Entity type:Organization
Organization Name:PEDIATRIC EMERGENCY PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWEMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-451-8965
Mailing Address - Street 1:3577 NW CLUBSIDE CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-4004
Mailing Address - Country:US
Mailing Address - Phone:305-451-8965
Mailing Address - Fax:
Practice Address - Street 1:3577 NW CLUBSIDE CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-4004
Practice Address - Country:US
Practice Address - Phone:305-451-8965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-05
Last Update Date:2011-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS4022207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency MedicineGroup - Single Specialty