Dr. Jean A. Gormley D.O.M., A.P., D.C.
Full Name
Dr. Jean A Gormley D.O.M., A.P., D.C.
NPI Number
1710021654
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/16/2007
Specialties
(Taxonomies)Name
Code
171100000X
101YA0400X
101Y00000X
111NN1001X
133N00000X
111NX0800X
111NR0400X
Primary Taxonomy
No
No
No
No
No
No
No
Licenses
State
Florida
Pennsylvania
Pennsylvania
License Number
AP 751
OM000012
DC002674L
Contact
Information
Purpose
Mailing
Location
Address
20844 4TH AVE W
20844 4TH AVE W
City
Cudjoe Key
Cudjoe Key
State
FL
FL
Postal Code
33042-4061
33042-4061
Country
US
US
Telephone Number
(305) 797-8527
(305) 797-8527
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/31/2021