| NPI | 1578037891 |
|---|---|
| Doing Business As | GATE PARKWAY PRIMARY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ALICE RIGDON Chief Financial Officer 904-953-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2021-04-12 |