Female

Heather K. Gordon PA-C

Medical Physician Assistant in North Miami Beach, FL(View on Map)

Full Name

Heather Kay Gordon PA-C

NPI Number

1972756229

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/30/2008

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PAT 9104789

Contact
Information

Purpose

Mailing
Location

Address

2625 COLLINS AVE
160 NW 170TH ST

City

Miami Beach
North Miami Beach

State

FL
FL

Postal Code

33140-4746
33169-5521

Country

US
US

Telephone Number

(706) 495-0431
(706) 495-0431

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/30/2008

Provider Address

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