Organization
GORDON G SOUAID MD P L
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON GEORGE SOUAID M.D. (PRESIDENT)
(954) 458-1170
Entity
Organization
Contact information
Practice address
2999 NE 191ST ST, SUITE 330, AVENTURA, FL 33180-3123
(305) 933-3170
(954) 456-5019
Mailing address
406 HOLIDAY DR, HALLANDALE BEACH, FL 33009-6520
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME44324
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046223300
—
FL
Enumeration date
07/16/2010
Last updated
03/07/2023
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