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Jerry Gordon Simon
Home Health Agency in Tampa, Florida
NPI 1164012993

Jerry Gordon Simon is a Home Health Agency based in Tampa, FL. Jerry Gordon Simon practices in Tampa, FL. The NPI Number for Jerry Gordon Simon is 1164012993 and holds a License No. (Florida).

The current practice location address for Jerry Gordon Simon is 3314 Henderson Blvd Ste 100E, Tampa, FL and can be reached out via phone at 813-391-5909 and via fax at 813-864-6741.

Location: 3314 Henderson Blvd Ste 100E, Tampa, FL, 33609-2999
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164012993
Provider Name
Jerry Gordon Simon
Credential
Provider Entity Type
Individual
Gender
Male
Address
3314 Henderson Blvd Ste 100E, Tampa, FL, 33609-2999
Phone Number
813-391-5909
Fax Number
813-864-6741
Provider Enumeration Date
01/25/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
104946200 05 FL
institution
Provider Business Practice Location Address Details
Address
3314 Henderson Blvd Ste 100E
City
Tampa
State
Florida
Zip
33609-2999
Phone Number
813-391-5909
Fax Number
813-864-6741
person
Provider Business Mailing Address Details
Address
3314 Henderson Blvd Ste 100E
City
Tampa
State
Florida
Zip
33609-2999
Phone Number
813-391-5909
Fax Number
813-864-6741
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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