Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME61272 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | ME61272 | FL |
NPI | 1053362046 |
---|---|
Provider Name | Herbert S Gates III |
First Address | Naples, FL 34102-5612 |
Second Address | Naples, FL 34102-5612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 10/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F23943 | (02) | FL |