Maxwell, Michael Gordon

Maxwell, Michael Gordon is an individual health care provider with primary practice located at 4201 Belfort Rd , Jacksonville FL 32216-1431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Maxwell, Michael Gordon can be contacted via phone (904) 296-3700.

Contact Information

Primary practice address
4201 Belfort Rd Jacksonville FL 32216-1431
Phone: (904) 296-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME34417 Florida

Profile Details

NPI number 1205823267
LBN Legal business name Maxwell, Michael Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 13th, 2026 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205823267 NPPES
Florida Other 15572 BLUECROSS/BLUESHIELD

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