ANDRES GORDILLO


Address: 3823 E State Road 64 Fl 34208, Bradenton, FL 34208-9041
Phone: 9417455111

ANDRES GORDILLO (NPI# 1033654462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033654462
Entity Type Individual
Full Name ANDRES GORDILLO
Credential M.S CCC-SLP
Practice Address 3823 E State Road 64 Fl 34208
Bradenton
FL 34208-9041
Mailing Address 3823 E State Road 64
Bradenton
FL 34208-9041
Practice Telephone 9417455111
Mailing Telephone 5613057975
Enumeration Date 2016-12-20
Last Update Date 2018-03-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SA15492 FL Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 019549700 05

Office Location

Street Address 3823 E STATE ROAD 64 FL 34208
City BRADENTON
State FL
Zip Code 34208-9041

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740880566 Michael Gerard Kulikowski Pharmacist 6225 E Sr 64, Bradenton, FL 34208 2020-10-30
1104431964 Genesis Carrillo Pharmacist 4210 E, Fl-64, Bradenton, FL 34208 2020-09-09
1962960146 Elite Surgery Center, LLC Plastic Surgery 5301 4th Ave Circle E, Bradenton, FL 34208 2019-03-07
1740777101 Chinelo Uche Student in an Organized Health Care Education/Training Program 206 2nd St. E, Brandenton, FL 34208 2018-04-20
1396240040 Nicholas Guy Ross Student in an Organized Health Care Education/Training Program 206 2nd St E., Bradenton, FL 34208 2018-03-26
1881196566 Pinnacle Dental, Inc Dentist 5220 4th Ave. Circle E., Bradenton, FL 34208 2018-03-08
1194240176 Bradenton Community Acupuncture Acupuncturist 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 2017-08-10
1316490147 Loretta Michele Deloach Counselor 515 27th St. S., Ste. 3, Bradenton, FL 34208 2016-07-28
1730548934 Elodie Chimuanya Epane Kamdem Dentist Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 2016-02-16
1215303920 Lesley Ann White Driver 45 Palmwood, Bradenton, FL 34208 2015-08-17
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669096178 Sarah Smith Letsky Speech-Language Pathologist 13214 Sorrento Way, Bradenton, FL 34211-2175 2020-05-31
1114455946 Megan Nicole Simon Speech-Language Pathologist 872 62nd Street Cir E Ste 101-103, Bradenton, FL 34208-6238 2017-05-24
1053842484 Rebecca Sutton Speech-Language Pathologist 4550 47th St W Apt 425, Bradenton, FL 34210-2827 2017-03-27
1003354564 Laure M Weissman Speech-Language Pathologist 126 Babbling Brook Run, Bradenton, FL 34212-3008 2017-02-05
1568905131 Tamara Keeton Speech-Language Pathologist 4616 62nd Ave E, Bradenton, FL 34203-6306 2016-11-29
1053866327 Kathleen Marie Merritt Speech-Language Pathologist 2200 38th Ave W # 14r-524, Bradenton, FL 34205-5017 2016-08-16
1669833646 Pinnacle Academy, Inc Speech-Language Pathologist 6215 Lorraine Road, Bradenton, FL 34202 2016-03-17
1669841029 Chelsea Hodges Speech-Language Pathologist 1414 69th Ave W, Bradenton, FL 34207-5850 2015-09-16
1225420557 Sunda Kamiya Speech-Language Pathologist 4207 38th Ave E, Bradenton, FL 34208-6903 2015-02-24
1124421029 Elyse Gordon Speech-Language Pathologist 8114 Spring Marsh Dr, Bradenton, FL 34201-2083 2014-10-06
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Competitor

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City BRADENTON
Zip Code 34208

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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