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Individual

DR. SHERRYL GAYE GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
601 E JENNINGS AVE, EUSTIS, FL 32726-6148
(352) 357-5311
(352) 357-0659
Mailing address
601 JENNINGS AVE, EUSTIS, FL 32726-6148
(352) 357-5311
(352) 357-0659

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME90253
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269787400
FL
01
43166
BLUE CROSS
FL
Enumeration date
08/15/2005
Last updated
02/02/2015
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