Individual
ANDREW GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 792-6611
Mailing address
22203 CHESAPEAKE CIR, WALLED LAKE, MI 48390-5916
(816) 646-9900
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS16236
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2013
Last updated
07/10/2019
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