NPI | 1861844342 |
---|---|
Doing Business As | GULF GATE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | ACHILLES KALNOKY Owner/President 941-921-0986 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME115088) |
Enumeration Date | 2016-07-07 |
Last Update Date | 2021-11-29 |