Organization · Type 2 NPI

Jeremy M Gordon DC PA

Multi-Specialty Clinic/Center · Deland, FL

NPI number 1669562500 Active

About NPI 1669562500

Jeremy M Gordon DC PA's National Provider Identifier is 1669562500, issued on Oct 13, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Deland, FL. The record was last updated on Oct 29, 2010.