Individual
AMY HILARY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1625 SE 3RD AVE # 502, FORT LAUDERDALE, FL 33316-2521
(954) 581-8706
Mailing address
14731 MADISON PL, DAVIE, FL 33325-3039
(508) 292-8095
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11005201
FL
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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