Elise Treff Gordon in Pensacola - Sports Medicine
Elise Treff Gordon - NPI 1700866118
Elise Treff Gordon is a Sports Medicine in Pensacola, Florida. Elise Treff Gordon practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Elise Treff Gordon is 1700866118. The last update date is 2022-04-28.
Elise Treff Gordon's current location address is 760 East Ave Bldg 3911, Pensacola, Florida. You can contact this provider via phone number 8504528970 and fax number 8504528979. The mailing address for Elise Treff Gordon is 760 East Ave Bldg 3911, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Elise Treff Gordon |
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Address | 760 East Ave Bldg 3911, Pensacola, Florida |
Phone Number | 8504528970 |
Fax Number | 8504528979 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1700866118 |
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Provider Enumeration Date | 2006-01-20 |
Last Updated Date | 2022-04-28 |
Provider Mailing Address Detail
Address | 760 East Ave Bldg 3911 |
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City | Pensacola |
State | Florida (FL) |
Post Code | 325085136 |
Phone Number | 8504528970 |
Fax Number | 8504528979 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Qs0010X |
Licence No | ME109095 |
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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3558200 | FL | -- | |
14E5R | FL | BLUE CROSS BLUE SHIELD | |
592-15141 | AL | BLUE CROSS BLUE SHIELD | |
128079 | AL | -- | |
592-15140 | AL | BLUE CROSS BLUE SHIELD | |
128081 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Elise Treff Gordon by the Centers for Medicare & Medicaid Services?
The Elise Treff Gordon has been assigned the NPI (National Provider Identifier) 1700866118 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Elise Treff Gordon is located?
The Elise Treff Gordon is situated at the following address: 760 East Ave Bldg 3911, Pensacola, FL, 325085136.
What is Elise Treff Gordon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elise Treff Gordon's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qs0010X.
On what date did the Elise Treff Gordon receive its 1700866118 assignment from the Centers for Medicare & Medicaid Services?
The Elise Treff Gordon was assigned its 1700866118 by the Centers for Medicare & Medicaid Services on 2006-01-20.
When was the information regarding Elise Treff Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Elise Treff Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-04-28.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY