Gateway Surgical Group Llc

LBN: Gateway Surgical Group Llc
Gateway Surgical Group Llc is an health care organization with primary practice located at 3140 Nw Medical Center Ln Suite 120, Lake City FL 32055-4717. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Gateway Surgical Group Llc can be contacted via phone (386) 755-6682, or through Pickler, Mickey via phone (386) 755-6682.

Contact Information

Primary practice address
3140 Nw Medical Center Ln Suite 120 Lake City FL 32055-4717
Phone: (386) 755-6682
Fax: (386) 755-6796
Website:
Map and Directions
Authorized official contact:
Name: Pickler, Mickey
Phone: (386) 755-6682

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1104868413
LBN Legal business name Gateway Surgical Group Llc
DBA Doing business as
Authorized official Pickler, Mickey
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 14th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104868413 NPPES
Florida Other 94830 BCBS OF FL

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