Organization
GAWDY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAJE LAKE (PROVIDER)
(352) 509-6359
Entity
Organization
Contact information
Practice address
923 N MAGNOLIA AVE STE 1300, OCALA, FL 34475-5133
(352) 509-6359
Mailing address
923 N MAGNOLIA AVE STE 1300, OCALA, FL 34475-5133
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/22/2022
Last updated
01/22/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up