Watercanal Er Svcs Partnership Llc

LBN: Watercanal Er Svcs Partnership Llc
Watercanal Er Svcs Partnership Llc is an health care organization with primary practice located at 60 Memorial Medical Pkwy , Palm Coast FL 32164-5980. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Watercanal Er Svcs Partnership Llc can be contacted via phone (386) 586-2010, or through Gatewood, Joseph H. via phone (469) 401-2386.

Contact Information

Primary practice address
60 Memorial Medical Pkwy Palm Coast FL 32164-5980
Phone: (386) 586-2010
Fax: (386) 676-4248
Website:
Map and Directions
Authorized official contact:
Name: Gatewood, Joseph H. Doctor of Medicine (MD)
Phone: (469) 401-2386

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1073561379
LBN Legal business name Watercanal Er Svcs Partnership Llc
DBA Doing business as
Authorized official Gatewood, Joseph H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2006
Last updated Jun 20th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073561379 NPPES
Florida MEDICAID 275953500
Florida Other 72262

Popular Providers