| Eric Gormley Llc | |
|
378 Ne Surfside Ave Port St Lucie FL 34983-1244 | |
| (203) 300-3257 | |
| Not Available |
| Full Name | Eric Gormley Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 378 Ne Surfside Ave, Port St Lucie, Florida |
| Authorized Official Name and Position | Eric A Gormley (OWNER) |
| Authorized Official Contact | 2033003257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Gormley Llc 378 Ne Surfside Ave Port St Lucie FL 34983-1244 Ph: (203) 300-3257 | Eric Gormley Llc 378 Ne Surfside Ave Port St Lucie FL 34983-1244 Ph: (203) 300-3257 |
| NPI Number | 1902439995 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902439995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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