Gordon Clinic-Antonio Gordon Md Pa

LBN: Gordon Clinic-Antonio Gordon Md Pa
Gordon Clinic-Antonio Gordon Md Pa is an health care organization with primary practice located at 344 W 65Th St Suite 201-204, Hialeah FL 33012-6719. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Gordon Clinic-Antonio Gordon Md Pa can be contacted via phone (305) 556-6459, or through Gordon, Antonio M. via phone (305) 556-6459.

Contact Information

Primary practice address
344 W 65Th St Suite 201-204 Hialeah FL 33012-6719
Phone: (305) 556-6459
Fax: (305) 556-9623
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Antonio M. Doctor of Medicine (MD)
Phone: (305) 556-6459

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0028982 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X Florida

Profile Details

NPI number 1023002300
LBN Legal business name Gordon Clinic-Antonio Gordon Md Pa
DBA Doing business as
Authorized official Gordon, Antonio M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2005
Last updated Nov 30th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023002300 NPPES
Florida MEDICAID 036786900
Florida Other 79262

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