| Gordon Therapeutic Llc | |
|
120 S University Dr Ste F Plantation FL 33324-3346 | |
| (754) 444-6032 | |
| Not Available |
| Full Name | Gordon Therapeutic Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 120 S University Dr Ste F, Plantation, Florida |
| Authorized Official Name and Position | Secquay Gordon (OWNER) |
| Authorized Official Contact | 7544446032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Therapeutic Llc 814 Sw 119th Way Davie FL 33325-3890 Ph: () - | Gordon Therapeutic Llc 120 S University Dr Ste F Plantation FL 33324-3346 Ph: (754) 444-6032 |
| NPI Number | 1730682907 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 03/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730682907 | NPI | - | NPPES |
| 1871948968 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT3022 (Florida) | Primary |
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