Individual
DR. GORDON LUCAS FIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 SOUTHPARK CIR E, SAINT AUGUSTINE, FL 32086-5137
(904) 824-1450
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35.151509
OH
208800000X
Urology Physician
Primary
ME156455
FL
Other
Enumeration date
02/13/2006
Last updated
10/29/2024
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