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Organization
GORDON, DOMINIC J
Active
Organization
GORDON, DOMINIC J
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC J GORDON (ADMINISTRATOR)
(813) 284-4788
Entity
Organization
Contact information
Practice address
1319 N TAYLOR RD, BRANDON, FL 33510-2422
(813) 485-6844
Mailing address
1319 N TAYLOR RD, BRANDON, FL 33510-2422
(813) 284-4788
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
08/02/2025
Last updated
04/30/2026
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