MEDICARE: ELYSE GORDON

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	235Z00000X	Speech-Language Pathologist	SA8210	FL

General Provider Information

NPI Number	:	1124421029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELYSE GORDON

Provider Business Mailing Address
First Line	:	8114 SPRING MARSH DR
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34201-2083
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8114 SPRING MARSH DR
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34201-2083
Country	:	US
Telephone Number	:	941-209-0189
Fax Number	:

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

Provider Enumeration Date	:	10/06/2014
Last Update Date	:	10/06/2014

Similar Medicare Providers

1285631879 — DR. RAYMOND GEORGE SAINT D.C.
Practice Location Address:

8441 HONORE AVE
BRADENTON, FL
34201-2011

Practice Phone: 941-360-3434
Practice Fax: 941-360-3433

1689604183 — MICHAEL JUZWA OT
Practice Location Address:

7637 HEYWARD CIR
BRADENTON, FL
34201-2050

Practice Phone: 941-587-8703
Practice Fax:

1891985883 — MISS REBECCA LEIGH NORDMAN DPT
Practice Location Address:

7211 83RD AVE E
BRADENTON, FL
34201-2151

Practice Phone: 904-377-4856
Practice Fax: 941-343-9402

1134300437 — LISA J KEZAR OT
Practice Location Address:

7637 HEYWARD CIR
BRADENTON, FL
34201-2050

Practice Phone: 941-587-5803
Practice Fax:

1003099490 — DR. MICHAEL I. FAZIO D.P.T.
Practice Location Address:

7844 ASHLEY CIR
BRADENTON, FL
34201-2091

Practice Phone: 941-993-8494
Practice Fax:

1649457243 — FREEDOM DME, LLC
Practice Location Address:

7637 HEYWARD CIR
BRADENTON, FL
34201-2050

Practice Phone: 941-587-5803
Practice Fax:

Directions to “ ELYSE GORDON ” 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.