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Individual

GORDON R. FORBES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
875 STERTHAUS AVE, ORMOND BEACH, FL 32174-5131
(386) 676-6000
Mailing address
721 S PENINSULA DR, DAYTONA BEACH, FL 32118-4635

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME93951
FL

Other

Enumeration date
05/23/2006
Last updated
07/08/2007
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