MEDICARE: GATEWAY COMMUNITY SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538820444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GATEWAY COMMUNITY SERVICES, INC.

Provider Business Mailing Address
First Line	:	555 STOCKTON ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-2534
Country	:	US
Telephone Number	:	904-387-4661
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 BRIDIER ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32206-5904
Country	:	US
Telephone Number	:	904-387-4661
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF UM/UR
Name	:	CYNTHIA MERCADO
Credential	:
Telephone Number	:	904-718-8606

Provider Enumeration Date	:	01/03/2022
Last Update Date	:	02/19/2026

Similar Medicare Providers

1104423524 — SONYA YOUNG
Practice Location Address:

920 BRIDIER ST
JACKSONVILLE, FL
32206-5904

Practice Phone: 904-646-4889
Practice Fax:

1669573705 — MRS. HEATHER W BLACKWELL
Practice Location Address:

3502 CORBY ST
JACKSONVILLE, FL
32205-5904

Practice Phone: 904-388-4084
Practice Fax:

1700641776 — DR. AARON STEPHEN ABRAHAM
Practice Location Address:

5904 SUMNER CT
JACKSONVILLE, FL
32216-5541

Practice Phone: 321-274-7471
Practice Fax:

1699629311 — MR. OSBORN MURRAY JR.
Practice Location Address:

426 E 3RD ST
JACKSONVILLE, FL
32206-5116

Practice Phone: 904-881-2295
Practice Fax: 904-881-2295

1962353516 — SACRAL BLOOM WELLNESS
Practice Location Address:

1504 PERRY ST APT 103
JACKSONVILLE, FL
32206-4335

Practice Phone: 904-323-1267
Practice Fax:

1952304511 — COMMUNTIY REHABILITATION CENTER, INC.
Practice Location Address:

623 BEECHWOOD ST
JACKSONVILLE, FL
32206-6236

Practice Phone: 904-358-1211
Practice Fax: 904-358-1551

Directions to “GATEWAY COMMUNITY SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.