Individual
MS. CAROL EVELYN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-7590
(305) 585-5318
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-7590
(305) 585-5318
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
81219-2
FL
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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