# JONATHAN E GORDON OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255528584
- **Authorized official:** DR. JONATHAN E GORDON O.D. (P/D/C)
- **Authorized official phone:** (321) 454-4800

## Contact information

- **Practice address:** 777 E MERRITT ISLAND CSWY, \#221, MERRITT ISLAND, FL 32952-3576
- **Practice address phone:** (321) 454-4800
- **Practice address fax:** (321) 454-2019
- **Mailing address:** 777 E MERRITT ISLAND CSWY, \#221, MERRITT ISLAND, FL 32952-3576
- **Mailing address phone:** (321) 454-4800
- **Mailing address fax:** (321) 454-2019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 3471 | FL | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 10/01/2007