Individual
DR. GORDON A PAGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
888 N ROBERT AVE, ARCADIA, FL 34266-9580
(863) 494-8401
Mailing address
PO BOX 2177, ARCADIA, FL 34265-2177
(863) 494-3535
(836) 491-4328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
GP041179
MI
207Q00000X
Family Medicine Physician
Primary
ME97222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1729834
—
MI
05
—
2771641 00
—
FL
Enumeration date
10/17/2005
Last updated
10/29/2010
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