Individual
DR. JONATHAN E GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4320 W BROWARD BLVD, SUITE 2, PLANTATION, FL 33317-3756
(954) 583-1311
(954) 587-4448
Mailing address
4320 W BROWARD BLVD, SUITE 2, PLANTATION, FL 33317-3756
(954) 583-1311
(954) 587-4448
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003618900
—
FL
Enumeration date
07/11/2006
Last updated
06/11/2014
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