Individual
GORDON ST CLAIR BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 SE MONTEREY RD, SUITE 204, STUART, FL 34994-4512
(772) 781-5960
(772) 419-0190
Mailing address
1050 SE MONTEREY RD, SUITE 204, STUART, FL 34994-4512
(772) 781-5960
(772) 419-0190
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME045009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264953500
—
FL
Enumeration date
02/17/2006
Last updated
05/20/2014
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