Barry Gordon D.C., P.A.

LBN: Barry Gordon D.C., P.A.
Barry Gordon D.C., P.A. is an health care organization with primary practice located at 1986 31St Ave Suite 110, Vero Beach FL 32960-6628. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Barry Gordon D.C., P.A. can be contacted via phone (772) 567-3334, or through Gordon, Thad Barry via phone (772) 567-3334.

Contact Information

Primary practice address
1986 31St Ave Suite 110 Vero Beach FL 32960-6628
Fax: (772) 567-4523
Website:
Authorized official contact:
Name: Gordon, Thad Barry Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH2470 Florida

Profile Details

NPI number 1154625978
LBN Legal business name Barry Gordon D.C., P.A.
DBA Doing business as
Authorized official Gordon, Thad Barry Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2011
Last updated Jan 8th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154625978 NPPES
Florida Other 89915 BLUE CROSS/BLUE SHIELS
Florida Other 4400124 BLUE CROSS/BLUE SHIELS

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