Charles S Gordon in Venice - Vascular & Interventional Radiology
Charles S Gordon - NPI 1679516124
Charles S Gordon is a Vascular & Interventional Radiology in Venice, Florida. Charles S Gordon practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Charles S Gordon is 1679516124. The last update date is 2020-06-29.
Charles S Gordon's current location address is Po Box 1508, Venice, Florida. You can contact this provider via phone number 9414887781 and fax number 9414849235. The mailing address for Charles S Gordon is Po Box 1508, Venice, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles S Gordon |
|---|---|
| Address | Po Box 1508, Venice, Florida |
| Phone Number | 9414887781 |
| Fax Number | 9414849235 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679516124 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2020-06-29 |
Provider Mailing Address Detail
| Address | Po Box 1508 |
|---|---|
| City | Venice |
| State | Florida (FL) |
| Post Code | 342841508 |
| Phone Number | 9414887781 |
| Fax Number | 9414849235 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | ME0068812 |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 265320600 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles S Gordon by the Centers for Medicare & Medicaid Services?
The Charles S Gordon has been issued the NPI (National Provider Identifier) 1679516124, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Charles S Gordon?
The Charles S Gordon is physically situated at Po Box 1508, in the city of Venice, state of FL, with the postal code 342841508.
What is Charles S Gordon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles S Gordon is Vascular & Interventional Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0204X.
When was the Charles S Gordon's 1679516124 issued?
The Charles S Gordon's 1679516124 was issued on 2006-06-13.
When was the information related to Charles S Gordon most recently updated or refreshed?
The details pertaining to the Charles S Gordon, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-06-29.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA