Provider Demographics
NPI:1669568242
Name:GORION, EDILBERTO DEIPARINE (PT)
Entity type:Individual
Prefix:MR
First Name:EDILBERTO
Middle Name:DEIPARINE
Last Name:GORION
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 ISLE OF SKY CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-8531
Mailing Address - Country:US
Mailing Address - Phone:407-325-4602
Mailing Address - Fax:
Practice Address - Street 1:6001 BRICK CT
Practice Address - Street 2:SUITE 121
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-9425
Practice Address - Country:US
Practice Address - Phone:407-325-4602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7065225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist