Crestside Emergency Physicians, LLC

NPI #1003169996 in Englewood, Florida

Provider Information

NPI Number
1003169996
Entity Type
Organization
Organization Name
Crestside Emergency Physicians, LLC
Primary Specialty
Emergency Medicine
Enumeration Date
Oct 17, 2012
Last Updated
Jul 5, 2013

Practice Location

Address
700 MEDICAL BLVD
State
Florida
ZIP Code
34223-3964
Phone
(941) 475-6571

Authorized Official

Name
DR. JOSEPH H GATEWOOD, MD
Title
PRESIDENT
Phone
(727) 507-2513

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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