Provider Demographics
NPI:1033831904
Name:PRECISION OBGYN -FL PA
Entity Type:Organization
Organization Name:PRECISION OBGYN -FL PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-448-3074
Mailing Address - Street 1:1990 W 56TH ST APT 1310
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6969
Mailing Address - Country:US
Mailing Address - Phone:516-448-3074
Mailing Address - Fax:301-979-9909
Practice Address - Street 1:2820 NE 214TH ST FL 8
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-1268
Practice Address - Country:US
Practice Address - Phone:516-448-3074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-16
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty