Active NPI
Gordon, Dominic J
- Adult Care Home Facility
- Brandon, FL
National Provider Identifier
1700760790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- GORDON, DOMINIC J
- Practice address
- 1319 N Taylor Rd
Brandon, FL 33510-2422 - Phone
- (813) 485-6844
- NPI assigned
- Aug 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dominic J Gordon
- Title
- Administrator
- Phone
- (813) 284-4788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
1319 N Taylor Rd
Brandon, FL 33510-2422
Mailing address
1319 N Taylor Rd
Brandon, FL 33510-2422
Phone (813) 284-4788
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777507200000",
"number": "1700760790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 N TAYLOR RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335102422",
"telephone_number": "813-284-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 N TAYLOR RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335102422",
"telephone_number": "813-485-6844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORDON, DOMINIC J",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-02",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "DOMINIC",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "813-284-4788"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.