Individual
HEATHER M GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1950 LAUREL MANOR DR STE 224, THE VILLAGES, FL 32162-5602
(352) 751-6565
(352) 205-7777
Mailing address
1950 LAUREL MANOR DR, STE 224, THE VILLAGES, FL 32162-5602
(352) 399-7295
(352) 399-7294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109314
FL
Other
Enumeration date
09/30/2011
Last updated
05/06/2020
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