Individual
GINA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 NW 1ST ST, GAINESVILLE, FL 32601-5343
(352) 875-6560
Mailing address
1485 S SEMORAN BLVD, WINTER PARK, FL 32792-5533
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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