Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kingsley Avenue Emergency Physicians LLC

Organization Emergency Medicine Physician · NPI 1679915300

Kingsley Avenue Emergency Physicians LLC is an Emergency Medicine Physician in Orange Park, Florida. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone: (904) 639-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1679915300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Gatewood — M.D./President · (800) 507-8874
NPI enumeratedJuly 23, 2013
Last updated in NPPESJuly 23, 2013
Mailing address18167 Us Highway 19 N, Suite 650, Clearwater, FL 33764-3528

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