Organization
GATEWAY MEDICAL DIRECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE SCHOONOVER (MANAGER)
(816) 217-3355
Entity
Organization
Contact information
Practice address
12094 COUNTRY DAY CIR, FORT MYERS, FL 33913-7620
(816) 217-3355
Mailing address
12094 COUNTRY DAY CIR, FORT MYERS, FL 33913-7620
(816) 217-3355
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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