Organization
LAKE PLACID EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GATEWOOD (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
1210 US HIGHWAY 27 N, LAKE PLACID, FL 33852-7948
(863) 699-4372
Mailing address
PO BOX 11779, PHILADELPHIA, PA 19101-0779
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
08/22/2020
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