Organization
DRSONCALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANN C GORDER (CEO)
(908) 894-9752
Entity
Organization
Contact information
Practice address
449 S 12TH ST., UNIT 2801, TAMPA, FL 33602
(908) 894-9752
Mailing address
449 S 12TH ST UNIT 2801, TAMPA, FL 33602-5615
(908) 894-9752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
07/21/2022
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