Individual
JOSHUA TREMAINE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 ELWELL ST, AVON PARK, FL 33825-5015
(863) 738-0645
Mailing address
115 ELWELL ST, AVON PARK, FL 33825-5015
(863) 738-0645
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/20/2025
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