Individual
DR. GORDON JOHNSON CROZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1307 S INTERNATIONAL PKWY, SUITE 2071, LAKE MARY, FL 32746-1413
(606) 776-7707
(407) 732-7669
Mailing address
1307 S INTERNATIONAL PKWY, 2071, LAKE MARY, FL 32746-1413
(606) 776-7707
(407) 732-7669
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
OS11510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582636039
TAX ID
TN
01
—
DO0000001336
LICENSE
TN
Enumeration date
10/10/2006
Last updated
03/07/2023
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