Gordon, Andrew

Gordon, Andrew is an sole proprietor health care provider with primary practice located at 333 W 41St St Suite #218, Miami Beach FL 33140-3641. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Gordon, Andrew can be contacted via phone (305) 532-5630.

Contact Information

Primary practice address
333 W 41St St Suite #218 Miami Beach FL 33140-3641
Phone: (305) 532-5630
Fax: (305) 532-2530
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO2890 Florida

Profile Details

NPI number 1831274794
LBN Legal business name Gordon, Andrew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Oct 7th, 2014 - about 12 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 1831274794 NPPES
Florida MEDICAID 340493500

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