Gordon, Phillip V

Gordon, Phillip V is an individual health care provider with primary practice located at 5149 N 9Th Ave , Pensacola FL 32504-8756. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gordon, Phillip V can be contacted via phone (434) 996-4974.

Contact Information

Primary practice address
5149 N 9Th Ave Pensacola FL 32504-8756
Phone: (434) 996-4974
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101227934 Virginia
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD.201795 Louisiana
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 115952 Florida

Profile Details

NPI number 1164591798
LBN Legal business name Gordon, Phillip V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Sep 23rd, 2013 - about 13 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 1164591798 NPPES
Virginia MEDICAID 006714455
Virginia MEDICAID 1036340
Virginia MEDICAID 05921278

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