Individual
RICHARD SHAWN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1258 W BAY DR STE D, LARGO, FL 33770-2277
(727) 586-3751
(727) 584-3102
Mailing address
1258 W BAY DR STE D, LARGO, FL 33770-2277
(727) 586-3751
(727) 587-9340
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME90619
FL
Other
Enumeration date
08/18/2005
Last updated
02/01/2019
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