Provider Demographics
NPI:1194529305
Name:GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC
Entity type:Organization
Organization Name:GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:N
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:904-885-2413
Mailing Address - Street 1:4800 DEERWOOD CAMPUS PARKWAY
Mailing Address - Street 2:DC 100, 4TH FLOOR
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246
Mailing Address - Country:US
Mailing Address - Phone:904-885-2413
Mailing Address - Fax:
Practice Address - Street 1:4748 N. DALE MABRY AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614
Practice Address - Country:US
Practice Address - Phone:813-576-0099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUIDEWELL EMERGENCY MEDICINE DOCTORS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology