Organization
GORDON CLINIC-ANTONIO GORDON MD PA
Active
Organization
GORDON CLINIC-ANTONIO GORDON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO M. GORDON JR. MD (PRESIDENT)
(305) 556-6459
Entity
Organization
Contact information
Practice address
344 W 65TH ST, SUITE 201-204, HIALEAH, FL 33012-6719
(305) 556-6459
(305) 556-9623
Mailing address
344 W 65TH ST, SUITE 201-204, HIALEAH, FL 33012-6719
(305) 556-6459
(305) 556-9623
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
FL
207R00000X
Internal Medicine Physician
0028982
FL
207RC0000X
Cardiovascular Disease Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036786900
—
FL
01
—
79262
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/01/2005
Last updated
11/30/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up