Individual
DR. GAINSON FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DRPH, DPM, DNM, PHD
Contact information
Practice address
9620 NE 2ND AVE STE 203, MIAMI SHORES, FL 33138-2749
(954) 399-2296
Mailing address
9620 NE 2ND AVE STE 203, MIAMI SHORES, FL 33138-2749
(954) 399-2296
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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