Gorman, Patrick W
Gorman, Patrick W is an sole proprietor health care provider with primary practice located at 111 N Lakemont Ave Ste 2D , Winter Park FL 32792-3217. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Gorman, Patrick W can be contacted via phone (407) 644-7792.Contact Information
Primary practice address
111 N Lakemont Ave Ste 2D
Winter Park FL 32792-3217
Phone: (407) 644-7792
Fax: (407) 644-3509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PY5141 | Florida |
Profile Details
| NPI number | 1205838935 |
|---|---|
| LBN Legal business name | Gorman, Patrick W |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Mar 4th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205838935 | NPPES |
| Florida | Other | 59686 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 1051159 | BLUE CROSS BLUE SHIELD |
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