ALICE H GORDON (NPI# 1811222045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811222045 |
| Entity Type | Individual |
| Full Name | ALICE H GORDON |
| Credential | PA-C |
| Practice Address |
260 Sw 84th Ave Suite C Plantation FL 33324-2715 |
| Mailing Address |
7351 W Oakland Park Blvd Suite 106 Tamarac FL 33319-7107 |
| Practice Telephone | 9543708585 |
| Practice Fax Number | 9543701585 |
| Mailing Telephone | 9547496955 |
| Mailing Fax Number | 9545782783 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2014-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9105207 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902057342 | Alice Hodgson Gordon | Nurse Practitioner | 2550 N. Annie Glidden Rd, Family Planning Clinic, Dekalb, IL 60115-1207 | 2008-10-03 |
| 1083946529 | Alice Y Gordon | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2010-02-09 |
| 1306894043 | Alice W Gordon | Advanced Practice Midwife | 1 Park West Blvd, Suite 200, Akron, OH 44320-4218 | 2006-05-05 |
| Street Address |
260 SW 84TH AVE SUITE C |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588631998 | Aryama D Sharma | Internal Medicine | 260 Sw 84th Ave, Ste A, Plantation, FL 33324 | 2006-03-03 |
| 1346611589 | Beatriz A. Libos | Physician Assistant | 260 Sw 84th Ave, Plantation, FL 33324-2715 | 2015-10-14 |
| 1568767952 | Geriatric and Palliative Care Center of South Florida Pa | Clinic/Center | 260 Sw 84th Ave, Suite B, Plantation, FL 33324-2715 | 2011-01-17 |
| 1376771386 | Maria Alejandra Suescum-diaz | Obstetrics & Gynecology | 260 Sw 84th Ave, Suite D, Plantation, FL 33324-2715 | 2009-06-29 |
| 1720228430 | Aryama D Sharma Md Pa | Internal Medicine | 260 Sw 84th Ave, Suite A, Plantation, FL 33324-2715 | 2009-02-20 |
| 1144302860 | Jill Marie Sheils | Physician Assistant | 260 Sw 84th Ave, Suite C, Plantation, FL 33324-2715 | 2006-10-20 |
| 1891881694 | Diane L. Sanders | Internal Medicine | 260 Sw 84th Ave, Suite B, Plantation, FL 33324-2715 | 2006-10-05 |
| 1104832641 | David Keith Dennis | Internal Medicine | 260 Sw 84th Ave, Suite C, Plantation, FL 33324-2715 | 2006-08-01 |
| 1043248016 | North Broward Hospital District | Internal Medicine | 260 Sw 84th Ave, Plantation, FL 33324-2715 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1104274760 | Krayssa Surgical Assist, Pa | Physician Assistant | 601 Nw 82nd Ave Apt 331, Plantation, FL 33324-1397 | 2016-05-24 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1710006788 | Narasinha Sitaram Rao | Physician Assistant | 5202 Sw 11 Street, Plantation, FL 33317 | 2007-03-28 |
| 1033246194 | Margaret J Miller | Physician Assistant | 861 Sw 78th Ave, Suite #100b, Plantation, FL 33324-3273 | 2007-02-27 |
| 1487209342 | Bisma Shah | Physician Assistant | 901 S State Road 7, Plantation, FL 33317-4522 | 2019-08-07 |
| 1043745409 | Ashley Elizabeth Marriott | Physician Assistant | 7700 W Sunrise Blvd, Plantation, FL 33322-4113 | 2017-04-24 |
| 1346611589 | Beatriz A. Libos | Physician Assistant | 260 Sw 84th Ave, Plantation, FL 33324-2715 | 2015-10-14 |
| 1669874905 | Brittany Margherita Cianelli | Physician Assistant | 8320 W Sunrise Blvd Ste 105, Plantation, FL 33322 | 2014-09-18 |
| 1861820482 | Patricia Luzquinos | Physician Assistant | 350 N Pine Island Rd, Plantation, FL 33324-1849 | 2013-10-16 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33324 |
Please comment or provide details below to improve the information on ALICE H GORDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.