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General NPI Number Information
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NPI Number | 1083114771
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Entity Type | Organization
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Legal Business Name | HG ENTERPRISES
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 11900 BISCAYNE BLVD STE 266
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2756
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Country | US
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Telephone | 786-360-1988
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Fax | 786-360-2578
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Provider Business Mailing Address
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Address Line | 11900 BISCAYNE BLVD STE 266
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2756
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Country | US
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Telephone | 786-360-1988
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Fax | 786-360-2578
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. HORATIO GORDON
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Credential | MD
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Telephone | 954-368-7644
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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 | ME126024
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 230708
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 230708
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME126024
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 230708
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME126024
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License Number State | FL
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