# GORDON HOME HEALTH MINISTRIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Florida Physician Home Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962839761
- **Authorized official:** DR. EDRIS I DALY-GORDON RN, EDD (CEO/PRESIDENT)
- **Authorized official phone:** (407) 591-9353

## Contact information

- **Practice address:** 962 CHERRY BRANCH CT, LAKE MARY, FL 32746-1944
- **Practice address phone:** (407) 591-9353
- **Practice address fax:** (407) 804-9517
- **Mailing address:** PO BOX 951911, LAKE MARY, FL 32795-1911
- **Mailing address phone:** (407) 591-9353
- **Mailing address fax:** (407) 804-9517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2013
- **Last updated:** 10/30/2015