Mrs Angelia M Gordon, PA-C is a
Physician Assistant - Surgical based in St Pete Beach, Florida. Mrs Angelia M Gordon is licensed to practice in Florida (license number PA 3004) and her current practice location is
9225 Captiva Cir, St Pete Beach, Florida. She can be reached at her office (for appointments etc.) via phone at
(727) 360-7220.
NPI number for Mrs Angelia M Gordon is 1134264658 and her current mailing address is 9225 Captiva Cir, St Pete Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134264658.
Provider's Profile
Full Name | Mrs Angelia M Gordon |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 9225 Captiva Cir, St Pete Beach, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134264658
- Provider Enumeration Date: 02/21/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Angelia M Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134264658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | PA 3004 (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. Mrs Angelia M 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 |
Mrs Angelia M Gordon, PA-C 9225 Captiva Cir, St Pete Beach, FL 33706-1356 Ph: (727) 360-7220 | Mrs Angelia M Gordon, PA-C 9225 Captiva Cir, St Pete Beach, FL 33706-1356 Ph: (727) 360-7220 |
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