Gordon, Jean

Gordon, Jean is an individual health care provider with primary practice located at 1600 S Andrews Ave Broward General Ed, Ft Lauderdale FL 33316-2510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Gordon, Jean can be contacted via phone (954) 355-4400.

Contact Information

Primary practice address
1600 S Andrews Ave Broward General Ed Ft Lauderdale FL 33316-2510
Phone: (954) 355-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME65155 Florida

Profile Details

NPI number 1033105556
LBN Legal business name Gordon, Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Feb 15th, 2008 - about 18 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 1033105556 NPPES
Florida Other 23691 MEDICARE CORE

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