Organization
HILLMOOR ER SVCS PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GATEWOOD (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 398-3800
(772) 398-3714
Mailing address
PO BOX 41585, PHILADELPHIA, PA 19101-1585
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72363
BLUE SHIELD
FL
Enumeration date
05/08/2006
Last updated
04/20/2008
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