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General NPI Number Information
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NPI Number | 1033831904
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Entity Type | Organization
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Legal Business Name | PRECISION OBGYN -FL PA
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 330 SW 27TH AVE STE 609
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City | MIAMI
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State | FL
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Zip | 33135-2968
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Country | US
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Telephone | 305-424-8622
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Fax | 305-394-9558
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Provider Business Mailing Address
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Address Line | 1990 W 56TH ST APT 1310
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City | HIALEAH
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State | FL
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Zip | 33012-6969
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Country | US
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Telephone | 516-448-3074
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Fax | 301-979-9909
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PIERRE S GORDON
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Credential | MD
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Telephone | 516-448-3074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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Taxonomy #6
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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