Details:

Must have Medical License and DEA at time of Name Clear

Must have clean malpractice/background for temp privs

Must be Board Certified EM

Must send self-query NPDB and EPA with presentation

Must be able to work at least 7 shift per month

Must have MM/YYYY format on CV and gaps be explained

Must have all licenses and certifications listed on CV

Must have current start date and availability

Board Certified

Attached CV (Must be in MM/YY to MM/YY format.  Provider Phone Number, Email and Home Address must be on the presentation CV. If your agency is unable to comply with this requirement, then it must be added in the presentation notes section.)

ANY GAPS OF OVER 30 DAYS MUST BE EXPLAINED ON CV

Envision Pre-Application (EPA)

EPA

NPDB submitted with CV if provider answered YES to any of the Negative questions

Board Certification(s)

Certifications

Procedures: (For IPS providers)

Available to Start

Shift Availability

Willing to work day/night/weekends

License status of state presenting? Active or In Process (Must provide proof application) or Apply upon Approval

Other Active State Licence(s)

DEA(s) & their status

Malpractice/Disciplinary: (Must provide detailed explanation with presentation)

Call Interview Availability for the next 10 business days

PH#

Tagged as: Emergency Medicine Florida, Locum - Physician Emergency Medicine

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