Low, Gordon J

Low, Gordon J is an individual health care provider with primary practice located at 1714 Mahan Center Blvd , Tallahassee FL 32308-5427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Low, Gordon J can be contacted via phone (850) 877-4134.

Contact Information

Primary practice address
1714 Mahan Center Blvd Tallahassee FL 32308-5427
Fax: (850) 402-9130
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0045410 Florida

Profile Details

NPI number 1669588281
LBN Legal business name Low, Gordon J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jan 31st, 2017 - about 8 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 1669588281 NPPES
Florida Other 23109 BLUE CROSS BLUE SHIELD

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