Individual
MS. CYNTHIA SCARLETT GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-4462
Mailing address
19101 MYSTIC POINTE DR APT 1404, AVENTURA, FL 33180-4517
(305) 951-3698
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
ARNP9280139
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
APRN9280139
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
ARNP9280139
FL
363LF0000X
Family Nurse Practitioner
APRN9280139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023907400
—
FL
01
—
MM054
MEDICARE
FL
Enumeration date
02/07/2013
Last updated
01/10/2024
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