| NPI | 1073496212 |
|---|---|
| Doing Business As | PHOENIX MEDICAL & ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY GORDON President 786-273-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |