Individual
YAFFA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9611 W BROWARD BLVD, PLANTATION, FL 33324-2334
(954) 424-7000
(954) 424-6003
Mailing address
900 S PINE ISLAND RD, SUITE # 800, PLANTATION, FL 33324-3920
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018931000
—
FL
Enumeration date
09/29/2016
Last updated
01/27/2021
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