Organization
GORDON L. RODETSKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON L RODETSKY D.C. (OWNER/ PHYSICIAN)
(941) 833-2600
Entity
Organization
Contact information
Practice address
2705 TAMIAMI TRL UNIT 215, PUNTA GORDA, FL 33950-6988
(941) 833-2600
(941) 833-2603
Mailing address
2705 TAMIAMI TRL, SUITE 215, PUNTA GORDA, FL 33950-6987
(941) 833-2600
(941) 833-2603
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98979
BCBSF
FL
Enumeration date
07/07/2006
Last updated
07/11/2007
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