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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us