Individual
AMELIA FASON-GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-4400
Mailing address
2721 NW 9TH ST, FORT LAUDERDALE, FL 33311-6674
(954) 638-2019
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11038250
FL
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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