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:
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Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205838935 NPPES
Florida Other 59686 BLUE CROSS BLUE SHIELD
Florida Other 1051159 BLUE CROSS BLUE SHIELD

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