Gordon, Jeffery S

Gordon, Jeffery S is an individual health care provider with primary practice located at 1300 Sawgrass Corporate Parkway Ste 200, Sunrise FL 33323-2823. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gordon, Jeffery S can be contacted via phone (800) 243-3839.

Contact Information

Primary practice address
1300 Sawgrass Corporate Parkway Ste 200 Sunrise FL 33323-2823
Phone: (800) 243-3839
Fax: (855) 527-5510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD11542 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 11542 Tennessee

Profile Details

NPI number 1770586919
LBN Legal business name Gordon, Jeffery S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Dec 16th, 2016 - 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 1770586919 NPPES
Tennessee MEDICAID 3179587
Tennessee Other 4057650
Tennessee Other 370017664

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