MRS. ANGELIA M GORDON (NPI# 1134264658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134264658 |
| Entity Type | Individual |
| Full Name | MRS. ANGELIA M GORDON |
| Credential | P.A.-C |
| Practice Address |
9225 Captiva Cir St Pete Beach FL 33706-1356 |
| Practice Telephone | 7273607220 |
| Mailing Telephone | 7273607220 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 3004 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9225 CAPTIVA CIR |
| City | ST PETE BEACH |
| State | FL |
| Zip Code | 33706-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669901278 | Daphne Priya Lazarus | Licensed Practical Nurse | 519 Plaza Seville Court, #37, Treasure Island, FL 33706 | 2017-06-07 |
| 1619304771 | Amanda Gibson | Case Manager/Care Coordinator | 11605 3rd Street E, Treasure Island, FL 33706 | 2013-10-03 |
| 1235571043 | Carl William Winans | General Practice | 106-15th Ave, St. Pete Beach, FL 33706 | 2013-07-22 |
| 1568625234 | Bay Area Taxi Service Inc | Taxi | 5201 Gulf Boulevard, St Pete Beach, FL 33706 | 2008-07-03 |
| 1760652804 | Asta Elena Grinis | Dentist | 8351 Blind Pass Rd, St Pete Beach, FL 33706 | 2008-03-05 |
| 1841419900 | Vanessa Kathleen Shields | Chiropractor | 127 86th Avenue, Treasure Island, FL 33706 | 2007-04-25 |
| 1275759656 | Gulf Coast Recovery Inc | Clinic/Center | 145 108th Avenue, Treasure Island, FL 33706 | 2007-04-17 |
| 1639290877 | Herbert Gersh | Physical Medicine & Rehabilitation | 12336 Sun Vista Ct, Treasure Island, FL 33706 | 2007-04-03 |
| 1548385347 | Tania Ann Culverhouse | Speech-Language Pathologist | 11420 4th Street East, Treasure Island, FL 33706 | 2007-03-20 |
| 1104801018 | Keith Roberts Runyan | Internal Medicine | 3305 W Maritana Dr, St Pete Beach, FL 33706 | 2005-12-13 |
| Find all providers in zip 33706 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | ST PETE BEACH |
| Zip Code | 33706 |
Please comment or provide details below to improve the information on MRS. ANGELIA M 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.