Individual provider · Type 1 NPI

Christine Sereta Gordon, MD

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1275830168 Active

Practice location

1611 NW 12th Ave
Miami, FL 33136-1005

Call (305) 585-5640 Map

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X15574 (FL)
Student in an Organized Health Care Education/Training Program Primary 390200000X15574 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275830168

Christine Sereta Gordon, MD's National Provider Identifier is 1275830168, issued on Feb 11, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Feb 11, 2011.