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Contact Information

GYDL ENTERPRISE
483 HALLCREST TERRACE
PORT CHARLOTTE, FL33954-3736
 Phone: 207-705-2282
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
 

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for GYDL ENTERPRISE · (Female)

NPI Number 1730938523
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2024
Last updated 10/30/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 023574700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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