Individual
D'METRIUS GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 E RIVER FALCONS WAY, ORLANDO, FL 32833-2779
(407) 956-8550
Mailing address
12013 FOUNTAINBROOK BLVD APT 1212, ORLANDO, FL 32825-7044
(347) 409-6797
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6232
FL
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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