Gordon, Michael D.

Gordon, Michael D. is an individual health care provider with primary practice located at 3191 E Semoran Blvd , Apopka FL 32703-5943. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gordon, Michael D. can be contacted via phone (407) 788-6500.

Contact Information

Primary practice address
3191 E Semoran Blvd Apopka FL 32703-5943
Phone: (407) 788-6500
Fax: (407) 869-9400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X ME0047490 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0047490 Florida

Profile Details

NPI number 1013905629
LBN Legal business name Gordon, Michael D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jun 28th, 2022 - about 2 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 1013905629 NPPES
Florida MEDICAID 043827800

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