Ms Kourtney Lauren Gates, PA-C | |
601 Gray Ave, Wildwood, FL 34785-3520 | |
(352) 492-5611 | |
Not Available |
Full Name | Ms Kourtney Lauren Gates |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 601 Gray Ave, Wildwood, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669155933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA9117719 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Kourtney Lauren Gates, PA-C 1531 Gillespie Ave, Portage, PA 15946-1426 Ph: () - | Ms Kourtney Lauren Gates, PA-C 601 Gray Ave, Wildwood, FL 34785-3520 Ph: (352) 492-5611 |
Tyler Jeffrey Mize, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5575 E Sr 44, Wildwood, FL 34785 Phone: 352-571-4418 | |
Farah Siddiquah Persad, Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 Gray Ave, Wildwood, FL 34785 Phone: 352-492-5611 | |
Tracy M. Creel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 411 Webster St, Wildwood, FL 34785 Phone: 352-748-6689 Fax: 352-748-6381 |