Gates, Todd Jacob

Gates, Todd Jacob is an sole proprietor health care provider with primary practice located at 2020 Commerce Dr , West Melbourne FL 32904-2335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gates, Todd Jacob can be contacted via phone (321) 952-6000.

Contact Information

Primary practice address
2020 Commerce Dr West Melbourne FL 32904-2335
Phone: (321) 952-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 34-004091 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X OS10754 Florida

Profile Details

NPI number 1992702260
LBN Legal business name Gates, Todd Jacob
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Jul 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992702260 NPPES
Florida MEDICAID 003039300

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