Organization
QUALITY DRIVE EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GATEWOOD MD (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
10461 QUALITY DR, SPRING HILL, FL 34609-9634
(352) 688-8200
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00148
BLUE SHIELD
FL
05
—
280605300
—
FL
Enumeration date
12/16/2007
Last updated
12/24/2013
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