Organization
GORDIUM RX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARPANA SHIVDASANI P.A. (PHYSICIANS ASSISTANT)
(561) 562-0674
Entity
Organization
Contact information
Practice address
4723 W ATLANTIC AVE STE 2, DELRAY BEACH, FL 33445-3865
(561) 562-0674
(561) 265-5673
Mailing address
4723 W ATLANTIC AVE STE 2, DELRAY BEACH, FL 33445-3865
(561) 562-0674
(561) 265-5673
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PA9108944
FL
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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