Organization
CRANE EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H. GATEWOOD (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-3151
(904) 259-3160
Mailing address
PO BOX 13378, PHILADELPHIA, PA 19101-3378
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98701
BLUE SHIELD
FL
Enumeration date
05/08/2006
Last updated
04/20/2008
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