Provider Demographics
NPI:1043954472
Name:GORDON, NICANDA NORRIE (MD)
Entity type:Individual
Prefix:DR
First Name:NICANDA
Middle Name:NORRIE
Last Name:GORDON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1001 NW 13TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2269
Mailing Address - Country:US
Mailing Address - Phone:561-955-6663
Mailing Address - Fax:561-955-2897
Practice Address - Street 1:237 GEORGE BUSH BLVD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-4034
Practice Address - Country:US
Practice Address - Phone:561-272-5373
Practice Address - Fax:833-625-1627
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-21
Last Update Date:2025-07-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME171445207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine