Organization
LONG WATER EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H. GATEWOOD M.D. (PRESIDENT)
(800) 507-8874
Entity
Organization
Contact information
Practice address
325 CYPRESS PKWY, KISSIMMEE, FL 34759-3326
(407) 530-2100
Mailing address
18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
(800) 507-8874
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2013
Last updated
07/16/2013
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