Healthcare Provider Details

I. General information

NPI: 1275874737
Provider Name (Legal Business Name): GEDEON CARING TOUCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2013
Last Update Date: 03/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W COLONIAL DR SUITE 20
ORLANDO FL
32804-7139
US

IV. Provider business mailing address

17830 GOLDEN LEAF LN
ORLANDO FL
32820-2270
US

V. Phone/Fax

Practice location:
  • Phone: 407-730-9755
  • Fax:
Mailing address:
  • Phone: 407-730-9755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number232030
License Number StateFL

VIII. Authorized Official

Name: NICOLE GEDEON
Title or Position: CEO
Credential:
Phone: 407-970-1424