DESOTO LAKES EMERGENCY PHYSICIANS LLC – NPI #1104337294
Emergency Medicine

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.

DESOTO LAKES EMERGENCY PHYSICIANS LLC is a provider located in BRADENTON, FL. NPPES has assigned the NPI number 1104337294 to DESOTO LAKES EMERGENCY PHYSICIANS LLC on October 17, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 5 years ago on Dec 21, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DESOTO LAKES EMERGENCY PHYSICIANS LLC below.

NPI Profile for
DESOTO LAKES EMERGENCY PHYSICIANS LLC

NPI Number
1104337294
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DESOTO LAKES EMERGENCY PHYSICIANS LLC
Primary location
8500 SR 70 EAST
BRADENTON, FL 34202
Phone: (469) 401-2386 Fax:
Mailing address
13737 NOEL RD
DALLAS, TX 75240-1331
Phone: (954) 838-2371 Fax:
Organization Subpart
No
Authorized Official
KATHY KONDAS
OFFICER
Phone: (973) 251-1132
Updated
Certification Date
Dec 21, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.