Individual
DR. MICKEY E. GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9955 TAMIAMI TRL N, SUITE 1, NAPLES, FL 34108-1914
(239) 566-8800
(239) 566-8778
Mailing address
9955 TAMIAMI TRL N, SUITE 1, NAPLES, FL 34108-1914
(239) 566-8800
(239) 566-8778
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0936
MI
213E00000X
Podiatrist
187
NM
213E00000X
Podiatrist
Primary
PO2638
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0936
PODIATRIC MEDICAL LICENSE
MI
01
—
187
PODIATRIC MEDICAL LICENSE
NM
01
—
5782609
AETNA PROVIDER #
FL
01
—
65543
BC/BS PROVIDER #
FL
01
—
K6801
MEDICARE ID
FL
01
—
PO2638
PODIATRIC MEDICAL LICENSE
FL
Enumeration date
01/23/2006
Last updated
03/31/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us