| Gordon Clinic-antonio Gordon Md Pa | |
|
344 W 65th St Suite 201-204 Hialeah FL 33012-6719 | |
| (305) 556-6459 | |
| (305) 556-9623 |
| Full Name | Gordon Clinic-antonio Gordon Md Pa |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 344 W 65th St, Hialeah, Florida |
| Authorized Official Name and Position | Antonio M. Gordon (PRESIDENT) |
| Authorized Official Contact | 3055566459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Clinic-antonio Gordon Md Pa 344 W 65th St Suite 201-204 Hialeah FL 33012-6719 Ph: (305) 556-6459 | Gordon Clinic-antonio Gordon Md Pa 344 W 65th St Suite 201-204 Hialeah FL 33012-6719 Ph: (305) 556-6459 |
| NPI Number | 1023002300 |
|---|---|
| Provider Enumeration Date | 09/01/2005 |
| Last Update Date | 11/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023002300 | NPI | - | NPPES |
| 036786900 | Medicaid | FL | |
| 79262 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0028982 (Florida) | Secondary |
| 133N00000X | Nutritionist | (Florida) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (Florida) | Primary |
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