Simon, Jerry Gordon
Simon, Jerry Gordon is an sole proprietor health care provider with primary practice located at 3314 Henderson Blvd Ste 100E , Tampa FL 33609-2999. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Simon, Jerry Gordon can be contacted via phone (813) 391-5909.Contact Information
Primary practice address
3314 Henderson Blvd Ste 100E
Tampa FL 33609-2999
Phone: (813) 391-5909
Fax: (813) 864-6741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1164012993 |
|---|---|
| LBN Legal business name | Simon, Jerry Gordon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2021 |
| Last updated | Jan 25th, 2021 - about 4 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 | 1164012993 | NPPES |
| Florida | MEDICAID | 104946200 |
Popular Providers
-
Stewart, Robin Rollena
9537 Lazy Lane Apt 302, Tampa FL 33614 -
Harrison, Sherry
3604 E Shadowlawn Ave , Tampa FL 33610-5164 -
Guerra, Yoerme
11406 N Dale Mabry Hwy Ste 204 , Tampa FL 33618-3879 -
Jeffrey, Brandi Betina
4916 S 80Th St , Tampa FL 33619-7012 -
Bultron, Susannah M
1663 Williambrg Sq 1663 Williambrg Sq, Tampa FL 33611 -
Macdonald, Bethany
5222 S Puritan Ave , Tampa FL 33611-4016 -
Graham, Manette Elaine
1717 E Cayuga St , Tampa FL 33610-6025 -
Algere, Adreaion S
8304 N Hillsborough Ln , Tampa FL 33604-3531