Organization
SARASOTA ORTHOPEDIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL GORDON MD (AUTHORIZED OFFICIAL)
(941) 951-2663
Entity
Organization
Contact information
Practice address
6230 UNIVERSITY PKWY, SUITE 203, LAKEWOOD RANCH, FL 34240-8604
(941) 951-2663
(941) 957-4437
Mailing address
2750 BAHIA VISTA ST, SUITE 100, SARASOTA, FL 34239-2600
(941) 951-2663
(941) 957-4437
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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