Healthcare Provider Details

I. General information

NPI: 1285952085
Provider Name (Legal Business Name): LINDSAY MICHELLE GATES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2010
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 CELEBRATION PL STE 402
CELEBRATION FL
34747-5436
US

IV. Provider business mailing address

410 CELEBRATION PL STE 402
CELEBRATION FL
34747-5436
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-4080
  • Fax: 407-303-7255
Mailing address:
  • Phone: 407-303-4080
  • Fax: 407-303-7255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD60636913
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number73246
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberME156231
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME156231
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: