Blue Wave Emergency Physicians LLC

NPI #1093064628 in Panama City, Florida

Provider Information

NPI Number
1093064628
Entity Type
Organization
Organization Name
Blue Wave Emergency Physicians LLC
Primary Specialty
Emergency Medicine
Enumeration Date
Aug 29, 2012
Last Updated
Jul 27, 2016

Practice Location

Address
449 W. 23RD ST
State
Florida
ZIP Code
32405
Phone
(469) 401-2386

Authorized Official

Name
JOSEPH H GATEWOOD, M.D.
Title
PRESIDENT
Phone
(469) 401-2386

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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