Gordon, Michael A
Gordon, Michael A is an sole proprietor health care provider with primary practice located at 3901 Nw 79Th Ave Ste 105 , Doral FL 33166-6554. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gordon, Michael A can be contacted via phone (305) 431-2034.Contact Information
Primary practice address
3901 Nw 79Th Ave Ste 105
Doral FL 33166-6554
Phone: (305) 431-2034
Fax: (305) 717-9995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2941 | Florida |
Profile Details
| NPI number | 1801807912 |
|---|---|
| LBN Legal business name | Gordon, Michael A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Nov 16th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801807912 | NPPES |
| Florida | MEDICAID | 6205305 |
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