Healthcare Provider Details

I. General information

NPI: 1841465101
Provider Name (Legal Business Name): HARDER EMERGENCY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 S HIGHLANDS AVE
SEBRING FL
33870-5416
US

IV. Provider business mailing address

PO BOX 37719
PHILADELPHIA PA
19101-5019
US

V. Phone/Fax

Practice location:
  • Phone: 863-385-6101
  • Fax: 863-385-3489
Mailing address:
  • Phone: 800-355-3818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: JOSEPH H. GATEWOOD
Title or Position: PRESIDENT
Credential: MD
Phone: 214-712-2000