| NPI | 1659348712 |
|---|---|
| Doing Business As | GATEWAY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAULA LALOR Sr. Director 629-215-3953 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: FL HCC3810) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2023-03-22 |