Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gateway Surgical Group LLC

Organization Surgery Physician · NPI 1104868413

Gateway Surgical Group LLC is a Surgery Physician in Lake City, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3140 NW Medical Center Ln Ste 120
Lake City, FL 32055-4717
Phone: (386) 755-6682
Fax: (386) 755-6796
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1104868413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mickey Pickler — Vp · (386) 755-6682
NPI enumeratedJune 12, 2006
Last updated in NPPESJanuary 14, 2008
Mailing address3140 Nw Medical Center Ln, Suite 120, Lake City, FL 32055-4717

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