Organization
ASHLEY CIRCLE INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H GATEWOOD MD (PRESIDENT)
(973) 251-1132
Entity
Organization
Contact information
Practice address
1801 ASHLEY CIR, BOWLING GREEN, KY 42104-3362
(973) 251-1132
Mailing address
18167 US HIGHWAY 19 N STE 650, CLEARWATER, FL 33764-6576
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/25/2013
Last updated
12/05/2019
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