NPI Profile for RONALD G GORDON in MELBOURNE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Wound Care |
163WW0000X |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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RONALD G GORDON
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