Organization
KINGSLEY AVENUE EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H GATEWOOD (M.D./PRESIDENT)
(800) 507-8874
Entity
Organization
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 639-8500
Mailing address
18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
(800) 507-8874
(727) 536-2896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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