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Edward Gorman

Contractor β€’ Davenport, FL

Active NPI 1669022604 Individual Practitioner Male Practitioner
Practice location in NPPES

160 Pintail Ln Apt 203
Davenport, FL 338967070

Call 5169123822 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

160 Pintail Ln Apt 203

Davenport, FL 338967070

Telephone 5169123822

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Davenport and Florida

3 active clinicians are listed under Contractor with a practice address in Davenport, FL (753 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-13
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Transportation Company
NA

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 13, 2026

Registered at 160 PINTAIL LN APT 203, DAVENPORT, FL 338967070 (Tel: 5169123822)

πŸ“
Updated Business Mailing Address July 13, 2026

Registered at 160 PINTAIL LN APT 203, DAVENPORT, FL 338967070 (Tel: 5169123822)

βœ…
NPI Profile Active September 11, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 11, 2019

Registered at 1787 BEARBERRY CIR APT 102, LUTZ, FL 335598763 (Tel: 9177020416)

πŸ“
Business Mailing Address (Initial Record) September 11, 2019

Registered at 1787 BEARBERRY CIR APT 102, LUTZ, FL 335598763 (Tel: 9177020416)

πŸ‘€
Provider Name / Credentials (Initial Record) September 11, 2019

Recorded as EDWARD GORMAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2019

Contractor

🟒
Initial NPI Registration & Enumeration September 11, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669022604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2019
Last Update: July 13, 2026
Sole Proprietor: Yes

Mailing Address

160 Pintail Ln Apt 203

Davenport, FL 338967070

Phone: 5169123822

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.