Edward Gorman

NPI #1669022604 in Lutz, Florida

Provider Information

NPI Number: 1669022604
Entity Type: Individual
Name: Edward Gorman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Sep 11, 2019
Last Updated: Sep 11, 2019

Practice Location

Address: 1787 BEARBERRY CIR APT 102
City: Lutz
State: Florida
ZIP Code: 33559-8763
Phone: (917) 702-0416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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