| NPI | 1902241482 |
|---|---|
| Other Name | GATEWAY CAMPUS |
| Entity Type | Organization |
| Authorized Contact | LANCE GREEN CFO 863-687-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2023-01-04 |