Organization
CALUSA EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H GATEWOOD MD (PRESIDENT)
(800) 444-7009
Entity
Organization
Contact information
Practice address
91500 OVERSEAS HWY, TAVERNIER, FL 33070-2547
(305) 852-4418
Mailing address
815 S PALAFOX ST, PENSACOLA, FL 32502-5937
(800) 444-7009
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97975
BLUE SHIELD
FL
Enumeration date
11/29/2006
Last updated
04/20/2008
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