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Organization

MAR-WALT DRIVE EMERGENCY PHYSICIANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH H. GATEWOOD MD (PRESIDENT)
(800) 444-7009
Entity
Organization

Contact information

Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 863-7610
(800) 305-3233
Mailing address
815 S PALAFOX ST, STE 300, PENSACOLA, FL 32502-5960
(800) 444-7009
(800) 305-3233

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician

Other

Enumeration date
07/26/2013
Last updated
07/26/2013
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