Fifer, Gordon Lucas
Fifer, Gordon Lucas is an sole proprietor health care provider with primary practice located at 240 Southpark Cir E , Saint Augustine FL 32086-5137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fifer, Gordon Lucas can be contacted via phone (904) 824-1450.Contact Information
Primary practice address
240 Southpark Cir E
Saint Augustine FL 32086-5137
Phone: (904) 824-1450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 35.151509 | Ohio |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME156455 | Florida |
Profile Details
| NPI number | 1497729933 |
|---|---|
| LBN Legal business name | Fifer, Gordon Lucas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Oct 29th, 2024 - 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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