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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396745782 NPPES
Florida MEDICAID 036786900

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