Jeremy Michael Gordon in Deland - Chiropractor
Jeremy Michael Gordon - NPI 1144217480
Jeremy Michael Gordon is a Chiropractor in Deland, Florida. Jeremy Michael Gordon practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeremy Michael Gordon is 1144217480. The last update date is 2012-10-08.
Jeremy Michael Gordon's current location address is 905 N Stone St, Deland, Florida. You can contact this provider via phone number 3867349995 and fax number 3867349949. The mailing address for Jeremy Michael Gordon is 905 N Stone St, Deland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Michael Gordon |
|---|---|
| Address | 905 N Stone St, Deland, Florida |
| Phone Number | 3867349995 |
| Fax Number | 3867349949 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1144217480 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2012-10-08 |
Provider Mailing Address Detail
| Address | 905 N Stone St |
|---|---|
| City | Deland |
| State | Florida (FL) |
| Post Code | 327202521 |
| Phone Number | 3867349995 |
| Fax Number | 3867349949 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH7770 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 381193000 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeremy Michael Gordon by the Centers for Medicare & Medicaid Services (CMS)?
The Jeremy Michael Gordon has been assigned the NPI (National Provider Identifier) 1144217480. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Jeremy Michael Gordon is geographically located?
The Jeremy Michael Gordon is physically situated at the following location: 905 N Stone St, Deland, FL, 327202521.
What is Jeremy Michael Gordon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeremy Michael Gordon is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
When was the Jeremy Michael Gordon's 1144217480 issued?
The Jeremy Michael Gordon's 1144217480 was issued on 2005-10-03.
As of what date was the information regarding Jeremy Michael Gordon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeremy Michael Gordon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-08.
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