MAR-WALT DRIVE EMERGENCY PHYSICIANS LLC NPI 1043652498

NPI Information

  • NPI: 1043652498
  • Provider Name: MAR-WALT DRIVE EMERGENCY PHYSICIANS, LLC
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Address: 1000 MAR WALT DR
    FORT WALTON BEACH, FL
    ZIP 32547
  • Phone: (850) 863-7610

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NPI Details

MAR-WALT DRIVE EMERGENCY PHYSICIANS, LLC is an emergency medicine in Fort Walton Beach, FL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MAR-WALT DRIVE EMERGENCY PHYSICIANS, LLC NPI is 1043652498. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1000 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547-708
Phone: (850) 863-7610
Fax: (800) 305-3233

The provider's authorized official is Joseph H. Gatewood .
The authorized official title is President and has the following contact phone number (800) 444-7009.

The enumeration date for this NPI number is 7/26/2013 and was last updated on 7/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PP0204XEmergency MedicinePediatric Emergency MedicineNo
2207P00000XEmergency MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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