Individual
MR. HECTOR F GORDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1611 NW 12TH AVE STE C402, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
11337 SW 112TH CIRCLE LN N, MIAMI, FL 33176-8433
(786) 877-2410
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9194190
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
ARNP9194190
FL
Other
Enumeration date
02/18/2015
Last updated
06/14/2024
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