Individual
DR. SAMUEL A. S. GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8177 GLADES ROAD, BAY 25, BOCA RATON, FL 33434
(561) 472-9975
Mailing address
1095 MILITARY TRAIL, BOX # 7716, JUPITER, FL 33468-7716
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME60525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120051
—
MS
01
—
1912001470
NPI
FL
01
—
207V00000X
PLANNED PARENTHOOD OF SOUTH, EAST AND NORTH FLORIDA
FL
Enumeration date
09/12/2006
Last updated
03/21/2017
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