Organization
CARLTON ER SVCS PARTNERSHIP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GATEWOOD MD (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
533 CARLTON ST, WAUCHULA, FL 33873-3407
(863) 767-8270
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275945400
—
FL
01
—
72491
BLUE SHIELD
FL
Enumeration date
05/08/2006
Last updated
12/22/2013
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