Gordillo, Andrea Dawn

Gordillo, Andrea Dawn is an individual health care provider with primary practice located at 127 Kingsway Rd , Brandon FL 33510-4605. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gordillo, Andrea Dawn can be contacted via phone (813) 681-5531.

Contact Information

Primary practice address
127 Kingsway Rd Brandon FL 33510-4605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN15161 Florida

Profile Details

NPI number 1861518565
LBN Legal business name Gordillo, Andrea Dawn
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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