Individual
KIMBERLIE BERNICE JONES GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 COURT ST STE B, CLEARWATER, FL 33756-5004
(727) 295-1000
Mailing address
1212 COURT ST STE B, CLEARWATER, FL 33756-5004
(727) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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