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Individual

MR. FEDERICO GORDON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MBA, MLS(ASCP)

Contact information

Practice address
601 S HARBOUR ISLAND BLVD STE 109, TAMPA, FL 33602-5927
(813) 419-2934
Mailing address
601 S HARBOUR ISLAND BLVD STE 109, TAMPA, FL 33602-5927

Taxonomy

Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
SU37305
FL

Other

Enumeration date
05/21/2020
Last updated
05/25/2020
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