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Individual

GORDON GEORGE SOUAID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1740 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4611
(305) 933-3170
(954) 456-5019
Mailing address
1740 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4611
(305) 933-3170
(954) 456-5019

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME44324
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046223300
FL
Enumeration date
05/20/2006
Last updated
11/20/2014
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