Gordillo, Andres

Gordillo, Andres is an individual health care provider with primary practice located at 3823 E State Road 64 Fl 34208 , Bradenton FL 34208-9041. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Gordillo, Andres can be contacted via phone (941) 745-5111.

Contact Information

Primary practice address
3823 E State Road 64 Fl 34208 Bradenton FL 34208-9041
Phone: (941) 745-5111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA15492 Florida

Profile Details

NPI number 1033654462
LBN Legal business name Gordillo, Andres
Credentials M.S CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2016
Last updated Mar 5th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033654462 NPPES
Florida MEDICAID 019549700

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