Individual
MARILYN S GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD/N
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4055
(954) 262-3815
Mailing address
3200 S UNIVERSITY DR, ASSEMBLY BLDG. # 2 ROOM 202, DAVIE, FL 33328-2018
(954) 262-4343
(954) 262-2269
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
ND243
FL
133V00000X
Registered Dietitian
Primary
ND243
FL
Other
Enumeration date
02/04/2008
Last updated
04/02/2021
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