Provider Demographics
NPI:1568980464
Name:DRSONCALLS
Entity Type:Organization
Organization Name:DRSONCALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GORDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-894-9752
Mailing Address - Street 1:449 S 12TH ST UNIT 2801
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5615
Mailing Address - Country:US
Mailing Address - Phone:908-894-9752
Mailing Address - Fax:
Practice Address - Street 1:449 S 12TH ST.
Practice Address - Street 2:UNIT 2801
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602
Practice Address - Country:US
Practice Address - Phone:908-894-9752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty