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Contact Information

SCOTT GORDON, MD
604 OAK COMMONS BLVD
KISSIMMEE, FL34741
 Phone: 407-846-6004
 Fax: 407-846-1330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SCOTT GORDON · (Male)

NPI Number 1104894112
Status Active
Credentials MD
Entity Individual
Enumeration date 03/08/2006
Last updated 12/29/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0050722
Hospital affiliation(s)
  • ST CLOUD REGIONAL MEDICAL CENTER - (Acute Care)
    2906 17TH STREET
    SAINT CLOUD, FL 34769
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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