Individual
VASHTI M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5345
(305) 355-2161
Mailing address
919 SAVANNAH FALLS DR, WESTON, FL 33327-1702
(954) 349-3818
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
969182
FL
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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