Gordillo, Manuel E

Gordillo, Manuel E is an individual health care provider with primary practice located at 1425 S Osprey Ave Ste 1, Sarasota FL 34239-2900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Gordillo, Manuel E can be contacted via phone (941) 366-9060.

Contact Information

Primary practice address
1425 S Osprey Ave Ste 1 Sarasota FL 34239-2900
Phone: (941) 366-9060
Fax: (941) 953-7076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME0062215 Florida

Profile Details

NPI number 1346347887
LBN Legal business name Gordillo, Manuel E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Oct 14th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346347887 NPPES
Florida Other 17711 BCBS FL
Florida MEDICAID 370875600 BCBS FL

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