Provider Demographics
NPI:1821137787
Name:GAYLE ENTERPRISES, INC.
Entity Type:Organization
Organization Name:GAYLE ENTERPRISES, INC.
Other - Org Name:ALPHA CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-865-9500
Mailing Address - Street 1:PO BOX 915664
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32791-5664
Mailing Address - Country:US
Mailing Address - Phone:407-865-9500
Mailing Address - Fax:407-865-6446
Practice Address - Street 1:910 N SR 434
Practice Address - Street 2:SUITE 15
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-7027
Practice Address - Country:US
Practice Address - Phone:407-865-9500
Practice Address - Fax:407-865-6446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1003332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0188480001OtherNSC #