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Organization
GORDON HOME HEALTH MINISTRIES INC
Active
Organization
GORDON HOME HEALTH MINISTRIES INC
Active
Other names
Central Florida Physician Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDRIS I DALY-GORDON RN, EDD (CEO/PRESIDENT)
(407) 591-9353
Entity
Organization
Contact information
Practice address
962 CHERRY BRANCH CT, LAKE MARY, FL 32746-1944
(407) 591-9353
(407) 804-9517
Mailing address
PO BOX 951911, LAKE MARY, FL 32795-1911
(407) 591-9353
(407) 804-9517
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/11/2013
Last updated
10/30/2015
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