Gordon, Donna Anita

Gordon, Donna Anita is an individual health care provider with primary practice located at 1755 N. Florida Avenue , Lakeland FL 33805-3109. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Gordon, Donna Anita can be contacted via phone (863) 904-6200.

Contact Information

Primary practice address
1755 N. Florida Avenue Lakeland FL 33805-3109
Phone: (863) 904-6200
Fax: (863) 904-6280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1034 Florida

Profile Details

NPI number 1164451647
LBN Legal business name Gordon, Donna Anita
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated May 26th, 2009 - about 15 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 1164451647 NPPES
Florida MEDICAID 600551900

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