GORDIUM MEDICAL SERVICES (NPI# 1609322619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609322619 |
| Entity Type | Organization |
| Organization Name | GORDIUM MEDICAL SERVICES |
| Practice Address |
4723 W Atlantic Ave Delray Beach FL 33445-3895 |
| Practice Telephone | 5615620674 |
| Practice Fax Number | 5612655673 |
| Mailing Telephone | 5615620674 |
| Mailing Fax Number | 5612655673 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |
| Authorized Official Name | ARPANA SHIVDASANI (PHYSICIANS ASSISTANT) |
| Authorized Official Telephone | 5615620674 |
| Authorized Official Credential | P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
4723 W ATLANTIC AVE |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33445-3895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368670 | Douglas Randall Smih | Medical Genetics, Ph.D. Medical Genetics | 4723 W Atlantic Ave, Ste 10, Delray Beach, FL 33445-3865 | 2005-07-05 |
| 1477095768 | Let Your Soul Evolve, LLC. | Community Based Residential Treatment Facility, Mental Illness | 4723 W Atlantic Ave, Suite A-21, Delray Beach, FL 33445-3895 | 2016-11-17 |
| 1487100533 | Gordium Trauma Recovery, LLC | Community/Behavioral Health | 4723 W Atlantic Ave, Delray Beach, FL 33445-3895 | 2016-08-29 |
| 1417142688 | Family Wellness Centers Inc | Physical Medicine & Rehabilitation | 4723 W Atlantic Ave, Suite A-13, Delray Beach, FL 33445-3895 | 2007-09-11 |
| 1720289358 | Mederi Caretenders Vs of Broward, LLC | Home Health | 4723 W Atlantic Ave, Suite A13 & 14, Delray Beach, FL 33445-3895 | 2007-05-30 |
| 1689766248 | Association for Community Counseling,inc. | Psychologist | 4723 W Atlantic Ave, Suite A5, Delray Beach, FL 33445-3895 | 2006-09-29 |
| 1902817398 | Rosalind L Rice | Psychologist | 4723 W Atlantic Ave, Suite A-5, Delray Beach, FL 33445-3895 | 2006-08-10 |
| 1154317204 | Mederi of Palm Beach County, Inc. | Home Health | 4723 W Atlantic Ave, Ste A14, Delray Beach, FL 33445-3895 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894839 | Timothy Joseph Marten Jr. | Physical Therapist | 601 N Congress Ave 411, Delray Beach, FL 33445 | 2019-08-01 |
| 1881252948 | Three Dots LLC | Behavioral Analyst | 1300 Nw 17th Ave Ste 272, Delray Beach, FL 33445 | 2019-06-04 |
| 1437649951 | Cardinal Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 601 N Congress Ave Ste 110b, Delray Beach, FL 33445 | 2018-05-10 |
| 1437654001 | Yvonne Marie Venton | Speech-Language Pathologist | 1221 Nw 19th Ter, Delray Beach, FL 33445 | 2018-03-27 |
| 1265935183 | Robert J Pina | Physical Therapist | 4800 Linton Blvd., Bldg. A-201, Delray Beach, FL 33445 | 2018-03-16 |
| 1447771159 | Julian Ibrahim Rashid | Pharmacist | 3030 Dorson Way, Delray Beach, FL 33445 | 2017-07-03 |
| 1285179333 | Sara Davis-larkins | Behavioral Analyst | 2061 Coral Trace Circle, Delray Beach, FL 33445 | 2016-12-28 |
| 1255876637 | Annette Annmarie Gray | Case Manager/Care Coordinator | 3624 Ave De Gien, Delray Beach, FL 33445 | 2016-12-21 |
| 1093262586 | Gordium Mental Health | Counselor | 4723 W Atlantic Ave St 21, Delray Beach, FL 33445 | 2016-09-01 |
| 1003279993 | Ted Paul | Home Health Aide | 2127 Sw 13 Ct, Delray Beach, FL 33445 | 2016-03-30 |
| Find all providers in zip 33445 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205313244 | Palm Beach Community Care, LLC | Clinic/Center | 2150 Lake Ida Rd Ste 5, Delray Beach, FL 33445-2443 | 2018-07-23 |
| 1669884839 | Administrative Support Services LLC | Clinic/Center | 335 E Linton Blvd, B14-2015, Delray Beach, FL 33483-5023 | 2014-05-22 |
| 1851619969 | Always Hope Adult Daycare | Clinic/Center | 1836 S Federal Hwy, Delray Beach, FL 33483-3311 | 2010-05-13 |
| 1134302557 | Mrunalini Kavuri Md Pa | Clinic/Center | 2150 Lake Ida Rd, Suite#5, Delray Beach, FL 33445-2443 | 2007-12-07 |
| 1215120639 | Sujatha Ramamurthy Md Pa | Clinic/Center | 15200 Jog Rd, Suite 303, Delray Beach, FL 33446-1247 | 2007-08-20 |
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|---|---|---|---|---|
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| 1558977926 | Ohi West Medical Group, LLC | Clinic/Center | 603 7th St S Ste 350, St Petersburg, FL 33701-4732 | 2020-09-21 |
| 1205441615 | Washington Hills Primary Care | Clinic/Center | 4645 Plantation Oaks Blvd, Orange Park, FL 32065-3652 | 2020-09-11 |
| 1699380329 | Premier Health System LLC | Clinic/Center | 12970 Sw 133rd Ct Ste A, Miami, FL 33186-5806 | 2020-09-10 |
| 1093328163 | Sunmed Group LLC | Clinic/Center | 2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202 | 2020-08-28 |
| 1790398246 | Emc 360, LLC | Clinic/Center | 1008 Juliette Blvd, Mount Dora, FL 32757-6500 | 2020-08-25 |
| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | DELRAY BEACH |
| Zip Code | 33445 |
Please comment or provide details below to improve the information on GORDIUM MEDICAL SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.