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Organization

BERNER ER SERVICES PARTNERSHIP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH H GATEWOOD MD (PRESIDENT)
(800) 362-2731
Entity
Organization

Contact information

Practice address
500 W SUGARLAND HWY, CLEWISTON, FL 33440-3021
(863) 983-2227
Mailing address
PO BOX 13068, PHILADELPHIA, PA 19101-3068
(800) 355-3818

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276705800
FL
01
72620
BLUE SHIELD
FL
Enumeration date
05/09/2006
Last updated
02/25/2014
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