Whalio Doctors

NPI 1023248648

Michael K Gordon, MD

Practitioner Vascular & Interventional Radiology Physician Lakeland, FL

Practice location

Address
2115 Crystal Grove Dr, Lakeland, FL 33801-6875
Phone
(863) 688-2334
Fax
(863) 577-0303

Registered specialties (3)

Vascular & Interventional Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence ME112396 (FL)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence DR.005482 (CO)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence ME112396 (FL)

Registry record

NPI
1023248648
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Jul 2009
Record last updated
19 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.