Individual
MELISSA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8201 W BROWARD BLVD, PLANTATION, FL 33324-2701
(754) 581-4471
Mailing address
11772 NW 5TH ST, PLANTATION, FL 33325-1907
(754) 581-4471
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME136359
FL
Other
Enumeration date
04/14/2011
Last updated
07/11/2022
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