Individual
DR. JEAN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 S ANDREWS AVE, BROWARD GENERAL ED, FT LAUDERDALE, FL 33316-2510
(954) 355-4400
Mailing address
4900 N OCEAN BLVD, LAUDERDALE BY THE SEA, FL 33308-2912
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME65155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23691
MEDICARE CORE
FL
Enumeration date
09/20/2005
Last updated
02/15/2008
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