Individual
DR. ANDREW GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
333 W 41ST ST, SUITE #218, MIAMI BEACH, FL 33140-3641
(305) 532-5630
(305) 532-2530
Mailing address
333 W 41ST ST, SUITE #218, MIAMI BEACH, FL 33140-3641
(305) 532-5630
(305) 532-2530
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO2890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340493500
—
FL
Enumeration date
10/26/2006
Last updated
10/07/2014
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