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Organization
JONATHAN E GORDON OD PA
Active
Organization
JONATHAN E GORDON OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN E GORDON O.D. (P/D/C)
(321) 454-4800
Entity
Organization
Contact information
Practice address
777 E MERRITT ISLAND CSWY, #221, MERRITT ISLAND, FL 32952-3576
(321) 454-4800
(321) 454-2019
Mailing address
777 E MERRITT ISLAND CSWY, #221, MERRITT ISLAND, FL 32952-3576
(321) 454-4800
(321) 454-2019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3471
FL
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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