Individual
DR. ROGER LEE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 N UNIVERSITY DR, A202, SUNRISE, FL 33351-6249
(954) 749-3040
(954) 749-3090
Mailing address
4300 N UNIVERSITY DR, A202, SUNRISE, FL 33351-6249
(954) 749-3040
(954) 749-3090
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME82538
FL
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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