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Douglas M Gordon, MD
Diagnostic Ultrasound Physician in Cocoa Beach, Florida
NPI 1144397217

Douglas M Gordon is a Diagnostic Ultrasound Physician based in Melbourne, FL and is specialized in Diagnostic Ultrasound. Douglas M Gordon practices in Cocoa Beach, FL and has the professional credentials of MD. The NPI Number for Douglas M Gordon is 1144397217 and holds a License No. ME64194 (Florida).

The current practice location address for Douglas M Gordon is 701 W Cocoa Beach Cswy, Cocoa Beach, FL and can be reached out via phone at 321-799-7111 and via fax at 770-621-3181.

Location: 701 W Cocoa Beach Cswy, Cocoa Beach, FL, 32902-2400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144397217
Provider Name
Douglas M Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
701 W Cocoa Beach Cswy, Cocoa Beach, FL, 32902-2400
Phone Number
321-799-7111
Fax Number
770-621-3181
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23388 01 FL BCBS
300048844 01 MEDICARE RR
23388Z 01 FL MEDICARE PTAN
377261600 05 FL
institution
Provider Business Practice Location Address Details
Address
701 W Cocoa Beach Cswy
City
Cocoa Beach
State
Florida
Zip
32931-3585
Phone Number
321-799-7111
Fax Number
770-621-3181
person
Provider Business Mailing Address Details
Address
701 W Cocoa Beach Cswy
City
Cocoa Beach
State
Florida
Zip
32931-3585
Phone Number
321-799-7111
Fax Number
770-621-3181
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
ME64194 (Florida)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
ME64194 (Florida)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
ME64194 (Florida)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME64194 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
ME64194 (Florida)
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.
person
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
ME64194 (Florida)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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