Individual
HEATHER KAY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
160 NW 170TH ST, NORTH MIAMI BEACH, FL 33169-5521
(706) 495-0431
Mailing address
2625 COLLINS AVE, #1104, MIAMI BEACH, FL 33140-4746
(706) 495-0431
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAT 9104789
FL
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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