OrganizationActive
Jeremy M Gordon DC PA
NPI 1669562500 · Multi-Specialty Clinic/Center · Deland, FL
Provider details
- NPI number
- 1669562500
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeremy Gordon, President(386) 734-9995
- License
- CH7770 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
905 N Stone St
Deland, FL 32720-2521
Phone: (386) 734-9995
Fax: (386) 734-9949
Approximate (ZIP-level) locationGet directions
Mailing address
905 N Stone St
Deland, FL 32720-2521
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2010-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.