Organization
GATEWAY MEDICAL GROUP LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SMITH (COO)
(863) 467-7084
Entity
Organization
Contact information
Practice address
111 NE 19TH DR, OKEECHOBEE, FL 34972-1933
(863) 357-1068
Mailing address
312 NW 5TH ST, OKEECHOBEE, FL 34972-2565
(863) 467-7084
(863) 467-6833
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0071118
FL
207R00000X
Internal Medicine Physician
ME0071683
FL
207R00000X
Internal Medicine Physician
ME0077602
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME0043238
FL
207RG0100X
Gastroenterology Physician
ME0066502
FL
207RP1001X
Pulmonary Disease Physician
ME0057971
FL
207V00000X
Obstetrics & Gynecology Physician
ME0021723
FL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
ME0060313
FL
208000000X
Pediatrics Physician
ME0060312
FL
2084N0400X
Neurology Physician
ME0069465
FL
208600000X
Surgery Physician
ME0021272
FL
208800000X
Urology Physician
ME0080601
FL
Other
Enumeration date
09/01/2005
Last updated
09/11/2025
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