Gordon, Gayle Ruth

Gordon, Gayle Ruth is an individual health care provider with primary practice located at 1220 Willis Ave , Daytona Beach FL 32114-2810. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gordon, Gayle Ruth can be contacted via phone (386) 236-3200.

Contact Information

Primary practice address
1220 Willis Ave Daytona Beach FL 32114-2810
Phone: (386) 236-3200
Fax: (386) 257-0328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN1098961 Florida

Profile Details

NPI number 1366442071
LBN Legal business name Gordon, Gayle Ruth
Credentials LICENSED PRACTICAL N
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers