Gordon, Michael K

Gordon, Michael K is an individual health care provider with primary practice located at 2115 Crystal Grove Dr , Lakeland FL 33801-6875. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gordon, Michael K can be contacted via phone (863) 688-2334.

Contact Information

Primary practice address
2115 Crystal Grove Dr Lakeland FL 33801-6875
Phone: (863) 688-2334
Fax: (863) 577-0303
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR.005482 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME112396 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME112396 Florida

Profile Details

NPI number 1023248648
LBN Legal business name Gordon, Michael K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2009
Last updated Feb 19th, 2024 - about 9 months 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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