| Jeremy M Gordon Dc Pa | |
|
905 N Stone St Deland FL 32720-2521 | |
| (386) 734-9995 | |
| (386) 734-9949 |
| Full Name | Jeremy M Gordon Dc Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 N Stone St, Deland, Florida |
| Authorized Official Name and Position | Jeremy M Gordon (PRESIDENT) |
| Authorized Official Contact | 3867349995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy M Gordon Dc Pa 905 N Stone St Deland FL 32720-2521 Ph: (386) 734-9995 | Jeremy M Gordon Dc Pa 905 N Stone St Deland FL 32720-2521 Ph: (386) 734-9995 |
| NPI Number | 1669562500 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 10/29/2010 |
| Medicare PECOS PAC ID | 7911927041 |
|---|---|
| Medicare Enrollment ID | O20051202000746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669562500 | NPI | - | NPPES |
| 55875 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | CH7770 (Florida) | Primary |
| Provider Name | Jeremy M Gordon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144217480 PECOS PAC ID: 5698715829 Enrollment ID: I20050506000646 |
| Provider Name | Michael Munson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871935502 PECOS PAC ID: 2668614256 Enrollment ID: I20130812000003 |
| Provider Name | Jason T Job |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104367457 PECOS PAC ID: 3375810344 Enrollment ID: I20170523000093 |
| Provider Name | John J Damrath |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447901574 PECOS PAC ID: 3072906577 Enrollment ID: I20220204001535 |
Samuel M Edwards M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 W Plymouth Ave, Deland, FL 32720 Phone: 386-736-7244 Fax: 386-736-8538 | |
Mohan L Sharma Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 231 East Rich Ave, Deland, FL 32724 Phone: 386-736-1444 Fax: 386-736-9337 | |
Stockhammer Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2370 E International Speedway Blvd, Deland, FL 32724 Phone: 386-736-1105 Fax: 386-736-3860 | |
Medexpress Urgent Care - Deland, N Woodland Blvd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 N Woodland Blvd, Deland, FL 32720 Phone: 386-738-0574 Fax: 386-738-0573 | |
Emmanuel Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 N Stone St, Deland, FL 32720 Phone: 386-279-7726 Fax: 386-873-2927 | |
Northeast Florida Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 S Woodland Blvd Ste 4, Deland, FL 32720 Phone: 386-202-6025 Fax: 386-202-1755 | |
Physicians Medical And Injury Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 S Woodland Blvd Ste 200a, Deland, FL 32720 Phone: 386-279-0943 Fax: 386-873-4217 |