Organization
BRADEN 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
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 798-6303
(941) 792-2956
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
—
275950100
—
FL
01
—
72524
BLUE SHIELD
FL
Enumeration date
05/05/2006
Last updated
12/22/2013
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