Organization
GORDON HOME HEALTH MINISTRIES INC
Active
Other names
Central Florida Physician Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDRIS I DALY-GORDON RN, EDD (CEO/PRESIDENT)
(407) 591-9353
Entity
Organization
Contact information
Practice address
962 CHERRY BRANCH CT, LAKE MARY, FL 32746-1944
(407) 591-9353
(407) 804-9517
Mailing address
PO BOX 951911, LAKE MARY, FL 32795-1911
(407) 591-9353
(407) 804-9517
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MY1STCOMPANY
MEDICARE PTAM # HR893A
FL
Enumeration date
10/11/2013
Last updated
10/30/2015
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