Individual
WYNETTE E GORDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 N MCKAY AVE, TAMPA, FL 33603-1209
(813) 573-7974
Mailing address
5505 N MCKAY AVE, TAMPA, FL 33603-1209
(813) 834-0823
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
3000935
FL
344600000X
Taxi
Primary
3000935
FL
347C00000X
Private Vehicle
3000935
FL
Other
Enumeration date
05/16/2025
Last updated
10/20/2025
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