Organization
GATOR SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMIEN ADAMS (CEO)
(407) 621-1518
Entity
Organization
Contact information
Practice address
643 WILLETT DR, WINTER GARDEN, FL 34787-6510
(407) 621-1518
(407) 614-2394
Mailing address
643 WILLETT DR, WINTER GARDEN, FL 34787-6510
(407) 621-1518
(407) 614-2394
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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