Individual
MICHAEL K GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
(863) 577-0303
Mailing address
2115 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
(863) 577-0303
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
DR.005482
CO
2085R0202X
Diagnostic Radiology Physician
ME112396
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME112396
FL
Other
Enumeration date
07/16/2009
Last updated
02/19/2024
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