Individual
CHAD GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4419 ROWAN RD, NEW PORT RICHEY, FL 34653
(727) 597-8430
(727) 597-8431
Mailing address
5501 W GRAY ST, TAMPA, FL 33609-1007
(813) 549-2134
(813) 864-4436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27182
OK
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME115920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009564500
—
FL
01
—
14RY1
BCBS FL
FL
Enumeration date
06/05/2009
Last updated
06/15/2018
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