Individual
ALICE H GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
260 SW 84TH AVE, SUITE C, PLANTATION, FL 33324-2715
(954) 370-8585
(954) 370-1585
Mailing address
7351 W OAKLAND PARK BLVD, SUITE 106, TAMARAC, FL 33319-7107
(954) 749-6955
(954) 578-2783
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105207
FL
Other
Enumeration date
10/06/2009
Last updated
07/03/2014
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