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1447770003
GRANT THOMAS GORDON
TAMPA, FL
NPI
1447770003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL OS18395)
Enumeration Date
2017-06-26
Last Update Date
2023-05-23
Business Address
Dr. GRANT THOMAS GORDON DO
17 DAVIS BLVD STE 308
TAMPA, FL 33606-3438
Phone number: 813-974-2201
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Mailing Address
Dr. GRANT THOMAS GORDON DO
1756 N BAYSHORE DR APT 15C
MIAMI, FL 33132-1138
Phone number: 574-276-6786
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