| Doctor Name: | EVA GORDON |
| NPI Number: | 1205119187 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP |
| License Number: | 9250824 |
| Business Practice Address: | 8100 Sw 184th Ter Cutler Bay, FL - 331577469 |
| Business Phone Number: | 7863291140 |
| Business Fax Number: | |
| Mailing Address: | 8100 Sw 184th Ter, CUTLER BAY |
| State: | FL |
| Postal Code: | 331577469 |
| Phone Number: | 7863291140 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2011 |
| NPI Last Update Date: | 09/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 9250824 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |