Baskin, Gordon St Clair

Baskin, Gordon St Clair is an individual health care provider with primary practice located at 1050 Se Monterey Rd Suite 204, Stuart FL 34994-4512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Baskin, Gordon St Clair can be contacted via phone (772) 781-5960.

Contact Information

Primary practice address
1050 Se Monterey Rd Suite 204 Stuart FL 34994-4512
Fax: (772) 419-0190
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME045009 Florida

Profile Details

NPI number 1912972647
LBN Legal business name Baskin, Gordon St Clair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated May 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912972647 NPPES
Florida MEDICAID 264953500

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