Organization
BARRY GORDON D.C., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAD BARRY GORDON DC (PRESIDENT)
(772) 567-3334
Entity
Organization
Contact information
Practice address
1986 31ST AVE, SUITE 110, VERO BEACH, FL 32960-6628
(772) 567-3334
(772) 567-4523
Mailing address
1986 31ST AVE, SUITE 110, VERO BEACH, FL 32960-6628
(772) 567-3334
(772) 567-4523
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4400124
UNITED HEALTH CARE
FL
01
—
89915
BLUE CROSS/BLUE SHIELS
FL
Enumeration date
01/08/2011
Last updated
01/08/2011
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