| Gateway Medical Direct Llc | |
|
12094 Country Day Cir Fort Myers FL 33913-7620 | |
| (816) 217-3355 | |
| Not Available |
| Full Name | Gateway Medical Direct Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12094 Country Day Cir, Fort Myers, Florida |
| Authorized Official Name and Position | Denise Schoonover (MANAGER) |
| Authorized Official Contact | 8162173355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Medical Direct Llc 12094 Country Day Cir Fort Myers FL 33913-7620 Ph: (816) 217-3355 | Gateway Medical Direct Llc 12094 Country Day Cir Fort Myers FL 33913-7620 Ph: (816) 217-3355 |
| NPI Number | 1831437540 |
|---|---|
| Provider Enumeration Date | 01/30/2013 |
| Last Update Date | 01/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831437540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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