| Gateway Medical Clinic - Defuniak Springs | |
|
1045 Us Highway 331 S Ste D Defuniak Springs FL 32435-3379 | |
| (850) 892-3366 | |
| Not Available |
| Full Name | Gateway Medical Clinic - Defuniak Springs |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1045 Us Highway 331 S Ste D, Defuniak Springs, Florida |
| Authorized Official Name and Position | Paula Lalor (SR. DIRECTOR) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Medical Clinic - Defuniak Springs Po Box 198002 Atlanta GA 30384-8002 Ph: () - | Gateway Medical Clinic - Defuniak Springs 1045 Us Highway 331 S Ste D Defuniak Springs FL 32435-3379 Ph: (850) 892-3366 |
| NPI Number | 1770550964 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 03/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770550964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | HCC3826 (Florida) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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