Individual
GORDON NEAL WILLIFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4200 SUN N LAKE BLVD, EMERGENCY DEPARTMENT, SEBRING, FL 33872-1986
(863) 402-3119
Mailing address
PO BOX 8060, SEBRING, FL 33872-0118
(863) 402-3119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101137
FL
Other
Enumeration date
10/20/2005
Last updated
07/08/2007
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