Organization · NPI-2

Anemone Emergency Physicians, LLC

Emergency Medicine · Daytona Beach, FL

NPI number1669844577

StatusActive

Last updated in NPPESNov 18, 2015

Details

NPI: 1669844577
Entity type: Organization (NPI-2)
Legal business name: Anemone Emergency Physicians, LLC
Organization subpart: No
Enumeration date: Oct 30, 2015
Last updated: Nov 18, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207P00000X	Emergency Medicine	–	–	Yes
363A00000X	Physician Assistant	–	–
363L00000X	Nurse Practitioner	–	–

Practice location

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167

Phone 469-401-2386

Mailing address

Po Box 80063
Philadelphia, PA 19101-0063

Phone 469-401-2386

Authorized official

Joseph H Gatewood
Officer
4694012386

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