Individual
CHOVINE GARDNER GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
819 E RED HOUSE BRANCH RD, SAINT AUGUSTINE, FL 32084-6504
(904) 687-6687
Mailing address
819 E RED HOUSE BRANCH RD, SAINT AUGUSTINE, FL 32084-6504
(904) 687-6687
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12705
FL
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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