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Contact Information

RONALD G GORDON, APRN, FNP-BC
250 N WICKHAM RD
MELBOURNE, FL32935-8625
 Phone: 321-752-1491
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for RONALD G GORDON · (Male)

NPI # 1255898102
Status Active
Credentials APRN, FNP-BC
Entity Individual
Enumeration date 02/27/2019
Last updated 02/27/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # APRN11000215
  • FL License # RN9181705
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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