IndividualActive
Charles Gordon, M.D.
NPI 1679516124 · Vascular & Interventional Radiology Physician · Venice, FL
Provider details
- NPI number
- 1679516124
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME0068812 (FL)
Practice location
512 Nokomis Ave S
Venice, FL 34285-2817
Phone: (941) 488-7781
Fax: (941) 484-9235
Mailing address
Po Box 1508
Venice, FL 34284-1508
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.