NPI 1003169996

Crestside Emergency Physicians, LLC

Organisation Emergency Medicine Physician Englewood, FL

Practice location

Address: 700 Medical Blvd, Englewood, FL 34223-3964
Phone: (941) 475-6571
Mailing address: PO Box 37903, Philadelphia, PA 19101-0403

Authorised official

Name: Joseph H Gatewood
Title: President
Phone: (727) 507-2513

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Florida →

Registry record

NPI: 1003169996
Entity type: Organization
NPI issued: 17 Oct 2012
Record last updated: 5 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.