Gorden, Camille Christine

Gorden, Camille Christine is an sole proprietor health care provider with primary practice located at 13770 Beach Blvd Suite # 6, Jacksonville FL 32224-7205. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Gorden, Camille Christine can be contacted via phone (904) 242-4220.

Contact Information

Primary practice address
13770 Beach Blvd Suite # 6 Jacksonville FL 32224-7205
Phone: (904) 242-4220
Fax: (904) 242-4221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9279833 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP9279833 Florida

Profile Details

NPI number 1598929192
LBN Legal business name Gorden, Camille Christine
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2008
Last updated Sep 30th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598929192 NPPES
Florida MEDICAID 003867800

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