Individual
DR. JOHN G. BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1577 ROBERTS DRIVE SUITE #323, JACKSONVILLE BEACH, FL 32250
(904) 241-9775
(904) 249-3638
Mailing address
1577 ROBERTS DRIVE, SUITE #323, JACKSONVILLE BEACH, FL 32250
(904) 241-9775
(904) 249-3638
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME59137
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252394900
—
FL
Enumeration date
03/28/2006
Last updated
03/20/2020
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