Gordon, Leslie Michael
Gordon, Leslie Michael is an sole proprietor health care provider with primary practice located at 7432 Wiles Rd , Coral Springs FL 33067-2066. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Gordon, Leslie Michael can be contacted via phone (954) 227-4492.Contact Information
Primary practice address
7432 Wiles Rd
Coral Springs FL 33067-2066
Phone: (954) 227-4492
Fax: (954) 227-4493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MT0001117 | Florida |
Profile Details
| NPI number | 1174758692 |
|---|---|
| LBN Legal business name | Gordon, Leslie Michael |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2009 |
| Last updated | May 28th, 2009 - about 15 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 | 1174758692 | NPPES |
| Florida | Other | Z2501 | BLUE CROSS BLUE SHIELD |
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