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Individual
NEISHA GORDON
Active
Individual
NEISHA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS57455
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS57455
FLORIDA DEPARTMENT OF HEALTH, BOARD OF PHARMACY
FL
Enumeration date
04/19/2018
Last updated
04/19/2018
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