Organization
TIMUCUA EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GATEWOOD M.D. (PRESIDENT)
(800) 507-8874
Entity
Organization
Contact information
Practice address
8300 RED BUG LAKE ROAD, OVIEDO, FL 32765
(800) 507-8874
Mailing address
PO BOX 37743, PHILADELPHIA, PA 19101-5043
(800) 507-8874
(727) 536-2896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2013
Last updated
09/11/2013
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