Individual
GORDON L LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-4594
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-4594
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C43162
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME78499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C431620
—
CA
Enumeration date
01/24/2007
Last updated
11/19/2014
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