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Contact Information

BLUE WAVE EMERGENCY PHYSICIANS LLC
449 W. 23RD ST
PANAMA CITY, FL32405
 Phone: 469-401-2386
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BLUE WAVE EMERGENCY PHYSICIANS LLC

NPI # 1093064628
LBN Legal business name BLUE WAVE EMERGENCY PHYSICIANS LLC
Authorized official JOSEPH GATEWOOD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2012
Last updated 07/27/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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