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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES S GORDON, M.D.

Active

CHARLES S GORDON, M.D. is a Therapeutic Radiology healthcare provider located in VENICE, Florida. NPI 1679516124 is currently active in the NPPES registry. Verify at CMS.

Therapeutic Radiology · VENICE, FL

Registration Details

NPI Number
1679516124
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2006 (20.195779305064 yrs)
Last Updated
Jun 29, 2020
Licenses
ME0068812 (FL)
ME0068812 (FL)

Practice Information

Address
512 NOKOMIS AVE S
VENICE, FL, 342852817
Browse FL providers · Browse ZIP 34285
Phone
9414887781
Fax
9414849235
Primary Specialty
Therapeutic Radiology
2085R0204X
Additional Specialty
Therapeutic Radiology

Other Therapeutic Radiology Providers in VENICE, FL

Name Credential NPI
DR. JOSIAH BANCROFT MD 1083662316
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.