Organization · Type 2 NPI

Gateway Medical Group LC

Cardiovascular Disease Physician · Okeechobee, FL

NPI number 1124012422 Active

Practice location

111 NE 19th Dr
Okeechobee, FL 34972-1933

Mailing address

312 NW 5th St
Okeechobee, FL 34972-2565

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XME0071118 (FL)
Internal Medicine Physician 207R00000XME0077602 (FL)
Internal Medicine Physician 207R00000XME0071683 (FL)
Cardiovascular Disease Physician Primary 207RC0000XME0043238 (FL)
Gastroenterology Physician 207RG0100XME0066502 (FL)
Pulmonary Disease Physician 207RP1001XME0057971 (FL)
Obstetrics & Gynecology Physician 207V00000XME0021723 (FL)
Clinical Pathology/Laboratory Medicine Physician 207ZP0105XME0060313 (FL)
Pediatrics Physician 208000000XME0060312 (FL)
Neurology Physician 2084N0400XME0069465 (FL)
Surgery Physician 208600000XME0021272 (FL)
Urology Physician 208800000XME0080601 (FL)

Cardiovascular Disease Physician: 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.

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About NPI 1124012422

Gateway Medical Group LC's National Provider Identifier is 1124012422, issued on Sep 1, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Okeechobee, FL. The record was last updated on Sep 11, 2025.