JEREMY M GORDON DC PA
Ambulatory Health at Stone St, Deland, FL

License number
Florida CH7770
Category
Ambulatory Health
Type
Multi-Specialty
Owner
Name: DR. JEREMY M GORDON DC
Title: PRESIDENT
Phone: (386) 734-9995
Address
Address
905 N Stone St, Deland, FL 32720
National Provider ID: 1669562500
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jeremy M. Gordon, D.C., PA

905 N Stone St, Deland, FL 32720

Industry:
Chiropractor's Office
Doing business as:
Back Pain Relief Ctr De Land
Registration:
Jan 8, 2001
Phone:
(386) 734-9995 (Phone)
State ID:
P01000004566
Business type:
Domestic for Profit Corporation
President, Secretary, Director:
Jeremy M. Gordon (President, Secretary, Director)

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