Provider Demographics
NPI:1639991912
Name:EMERGENT PHYSICIANS OF PALMETTO BAY, LLC
Entity type:Organization
Organization Name:EMERGENT PHYSICIANS OF PALMETTO BAY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PICADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-888-8820
Mailing Address - Street 1:6200 SUNSET DR STE 302
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4829
Mailing Address - Country:US
Mailing Address - Phone:786-888-8820
Mailing Address - Fax:
Practice Address - Street 1:8750 SW 144TH ST STE 100
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33176-7229
Practice Address - Country:US
Practice Address - Phone:786-595-1850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty