Individual
MATTHEW PATRICK GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0412
(407) 975-0413
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-2812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME144362
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106635700
—
FL
01
—
MS106
MEDICARE
FL
01
—
RHUFB
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/30/2017
Last updated
06/28/2023
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