Organization
SAILFISH ER SVCS PARTNERSHIP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H GATEWOOD M.D. (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
300 SE HOSPITAL AVE, STUART, FL 34994-2338
(772) 223-5995
(772) 223-5994
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
05
—
275968300
—
FL
05
—
275968301
—
FL
01
—
72485
BLUE SHIELD
FL
Enumeration date
05/05/2006
Last updated
12/24/2013
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