Mr. Edward Gordon Jr.
Mr. Edward Gordon Jr. is an Attendant Care Provider in Tallahassee, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2472 Chateau LnTallahassee, FL 32311-5604
Phone: (850) 896-4709
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Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1386278596 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 26, 2020 |
| Last updated in NPPES | February 26, 2020 |
| Certification date | February 26, 2020 |
| Mailing address | 115 S Pinetree Blvd Apt 1205, Bldg 12, Thomasville, GA 31792-7175 |
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