Individual
AMBER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10853 TRAILING VINE DR, TAMPA, FL 33610-9742
(508) 521-4873
Mailing address
10853 TRAILING VINE DR, TAMPA, FL 33610-9742
(508) 521-4873
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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