Gordon, Carole Lynn
Gordon, Carole Lynn is an individual health care provider with primary practice located at 12109 County Road 103 Ste 2 , Oxford FL 34484-2951. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Gordon, Carole Lynn can be contacted via phone (352) 259-4400.Contact Information
Primary practice address
12109 County Road 103 Ste 2
Oxford FL 34484-2951
Phone: (352) 259-4400
Fax: (352) 787-0370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G2973 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | G2973 | Texas |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME 110346 | Florida |
Profile Details
| NPI number | 1306888334 |
|---|---|
| LBN Legal business name | Gordon, Carole Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jan 18th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306888334 | NPPES |
| Texas | MEDICAID | 032766001 |
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