Dr Christine Sereta Gordon, MD is a
Student In An Organized Health Care Education/training Program physician based in Miami, Florida. Dr Christine Sereta Gordon is licensed to practice in Florida (license number 15574) and her current practice location is 1611 Nw 12th Ave, Miami, Florida. She can be reached at her office (for appointments etc.) via phone at
(305) 585-5640.
NPI number for Dr Christine Sereta Gordon is 1275830168 and her current mailing address is 1611 Nw 12th Ave, Miami, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275830168.
Physician's Profile
| Full Name | Dr Christine Sereta Gordon |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1611 Nw 12th Ave, Miami, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275830168
- Provider Enumeration Date: 02/11/2011
- Last Update Date: 02/11/2011
Medical Identifiers
Medical identifiers for Dr Christine Sereta Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275830168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 15574 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 15574 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Christine Sereta Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Christine Sereta Gordon, MD
1611 Nw 12th Ave,
Miami, FL 33136-1005
Ph: (305) 585-5640 | Dr Christine Sereta Gordon, MD
1611 Nw 12th Ave,
Miami, FL 33136-1005
Ph: (305) 585-5640 |
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