GATEWAY MEDICAL GROUP LC NPI 1124012422

NPI Information

  • NPI: 1124012422
  • Provider Name: GATEWAY MEDICAL GROUP LC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • CLIA Number: 10D0963878
  • Address: 111 NE 19TH DR
    OKEECHOBEE, FL
    ZIP 34972
  • Phone: (863) 357-1068

Map and Directions

Get Directions

NPI Details

GATEWAY MEDICAL GROUP LC is a cardiovascular disease internal medicine in Okeechobee, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. GATEWAY MEDICAL GROUP LC NPI is 1124012422. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

111 NE 19TH DR
OKEECHOBEE, FL
ZIP 34972-933
Phone: (863) 357-1068

The provider's authorized official is John Smith .
The authorized official title is Coo and has the following contact phone number (863) 467-7084.

The CLIA number assigned to this NPI record is 10D0963878 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineME0071118FLORIDANo
2207R00000XInternal MedicineME0077602FLORIDANo
3207R00000XInternal MedicineME0071683FLORIDANo
4208800000XUrologyME0080601FLORIDANo
5208600000XSurgeryME0021272FLORIDANo
62084N0400XPsychiatry & NeurologyNeurologyME0069465FLORIDANo
7208000000XPediatricsME0060312FLORIDANo
8207ZP0105XPathologyClinical Pathology/Laboratory MedicineME0060313FLORIDANo
9207V00000XObstetrics & GynecologyME0021723FLORIDANo
10207RP1001XInternal MedicinePulmonary DiseaseME0057971FLORIDANo
11207RG0100XInternal MedicineGastroenterologyME0066502FLORIDANo
12207RC0000XInternal MedicineCardiovascular DiseaseME0043238FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI