NPI: 1114487311 · JACKSONVILLE, FL 32211 · Foot & Ankle Surgery Podiatrist · NPI assigned 03/22/2019
| Authorized Official | GORDON, DIANDRA (OWNER/PROVIDER) |
| NPI Enumeration Date | 03/22/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 366 | $11K |
| 2023 | 695 | $2K |
| 2024 | 472 | $575.59 |