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1144965690
NICHOLAS LEWIS GORDON
ORLANDO, FL
NPI
1144965690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: FL AA773)
Enumeration Date
2022-04-29
Last Update Date
2022-11-08
Business Address
NICHOLAS LEWIS GORDON CAA
601 E ROLLINS ST
ORLANDO, FL 32803-1248
Phone number: 407-667-0444
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Mailing Address
NICHOLAS LEWIS GORDON CAA
851 TRAFALGAR CT STE 200E
MAITLAND, FL 32751-7420
Phone number: 407-667-0444
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