MEDICARE: GORDIAN MEDICAL VIII, INC.

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	203.00273	OTHER	IL	DME LICENSE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154344414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GORDIAN MEDICAL VIII, INC.

Provider Business Mailing Address
First Line	:	750 THE CITY DR S STE 225
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4976
Country	:	US
Telephone Number	:	714-566-0200
Fax Number	:	877-380-8282

Provider Business Practice Location Address
First Line	:	9000 SHERIDAN ST STE 150
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-8801
Country	:	US
Telephone Number	:	954-963-8787
Fax Number	:	954-963-8724

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY BOWMAN
Credential	:
Telephone Number	:	714-566-0200

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	03/15/2024

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MEDICARE: GORDIAN MEDICAL VIII, INC.

Scope of Practice

Other Identifiers

General Provider Information

Similar Medicare Providers

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