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General NPI Number Information
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NPI Number | 1770533143
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Entity Type | Organization
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Legal Business Name | SUNSHINE CITY EMERGENCY PHYSICIANS
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6500 38TH AVENUE NORTH
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City | ST. PETERSBURG
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State | FL
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Zip | 33710
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Country | US
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Telephone | 772-398-3800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13899
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City | PHILADELPHIA
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State | PA
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Zip | 19101-3899
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH H. GATEWOOD
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Credential |
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Telephone | 214-712-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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