Gordon, Antonio Maria
Gordon, Antonio Maria is an sole proprietor health care provider with primary practice located at 1700 W 68Th St , Hialeah FL 33014-4437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gordon, Antonio Maria can be contacted via phone (305) 556-6459.Contact Information
Primary practice address
1700 W 68Th St
Hialeah FL 33014-4437
Phone: (305) 556-6459
Fax: (305) 556-9623
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0028982 | Florida |
Profile Details
NPI number | 1396745782 |
---|---|
LBN Legal business name | Gordon, Antonio Maria |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 28th, 2005 |
Last updated | Mar 9th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396745782 | NPPES |
Florida | MEDICAID | 036786900 |
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