MEDICARE: MS. EDYTHE A GORDON JD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1538477336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EDYTHE A GORDON JD

Provider Business Mailing Address
First Line	:	2892 TENNIS CLUB DR
Second Line	:	#502
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-2885
Country	:	US
Telephone Number	:	561-201-5893
Fax Number	:

Provider Business Practice Location Address
First Line	:	2892 TENNIS CLUB DR
Second Line	:	#502
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-2885
Country	:	US
Telephone Number	:	561-201-5893
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2010
Last Update Date	:	09/15/2010

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1720402894 — HEALTH MARKETS
Practice Location Address:

2885 PALM BEACH BLVD APT 307
FORT MYERS, FL
33916-2510

Practice Phone: 239-478-7131
Practice Fax: 239-274-5513

1811784820 — MRS. ANGELA GIAVANNA KESSELMAN MS
Practice Location Address:

3019 ALCAZAR PL APT 107
PALM BEACH GARDENS, FL
33410-2885

Practice Phone: 609-579-2757
Practice Fax:

1336661057 — TAK CARE
Practice Location Address:

2280 N GIRASOL AVE
PALM SPRINGS, CA
92262-2885

Practice Phone: 818-416-3724
Practice Fax:

1326913575 — BEST IN TOWN LIMO LLC
Practice Location Address:

556 E PALM AVE APT 101
BURBANK, CA
91501-2885

Practice Phone: 424-944-9499
Practice Fax:

1841212891 — USV OPTICAL INC
Practice Location Address:

1203 PLAZA DR
WEST COVINA, CA
91790-2885

Practice Phone: 626-960-0025
Practice Fax:

Directions to “ MS. EDYTHE A GORDON JD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.