Gordon, Leslie Michael

Gordon, Leslie Michael is an sole proprietor health care provider with primary practice located at 7432 Wiles Rd , Coral Springs FL 33067-2066. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Gordon, Leslie Michael can be contacted via phone (954) 227-4492.

Contact Information

Primary practice address
7432 Wiles Rd Coral Springs FL 33067-2066
Phone: (954) 227-4492
Fax: (954) 227-4493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT0001117 Florida

Profile Details

NPI number 1174758692
LBN Legal business name Gordon, Leslie Michael
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2009
Last updated May 28th, 2009 - about 17 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 1174758692 NPPES
Florida Other Z2501 BLUE CROSS BLUE SHIELD

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