# DR. SAMUEL A. S. GORDON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912001470
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME60525 | FL | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 03/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0120051 | — | MS |
| 01 | — | 1912001470 | NPI | FL |
| 01 | — | 207V00000X | PLANNED PARENTHOOD OF SOUTH, EAST AND NORTH FLORIDA | FL |