Individual
GEORGE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4895 WINDWARD PASSAGE DR STE 6, BOYNTON BEACH, FL 33436-7741
(561) 877-8753
Mailing address
4895 WINDWARD PASSAGE DR STE 6, BOYNTON BEACH, FL 33436-7741
(561) 877-8753
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
00000
FL
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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