Max T Billingsley
Emergency Medical Services
1 Shircliff Way Emergency Department
Jacksonville
, Florida 32204-4748
Max T Billingsley
Emergency Medical Services
1 Shircliff Way Emergency Department
Jacksonville
, Florida 32204-4748
(904) 346-0113
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Max T Billingsley
- Po Box 863026
- Orlando, FL
- Zip : 32886-3026
- Fax : (904) 346-0113
- Phone : (904) 346-5426
Second Address
- Max T Billingsley
- 1 Shircliff Way Emergency Department
- Jacksonville, FL
- Zip : 32204-4748
- Fax : (904) 346-0113
- Phone : (904) 346-5426
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | ME0045015 | FL |
National Provider Identifier
| NPI | 1003874363 |
|---|---|
| Provider Name | Max T Billingsley |
| First Address | Orlando, FL 32886-3026 |
| Second Address | Jacksonville, FL 32204-4748 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2006 |
| Last Update Date | 01/12/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 044556800 | (05) | FL |
| 14148 | BCBS (01) | FL |
| 930000750 | RRMCR (01) | FL |
| E12140 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.