Gordon, Marilyn S

Gordon, Marilyn S is an individual health care provider with primary practice located at 3200 S University Dr , Davie FL 33328-2018. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Gordon, Marilyn S can be contacted via phone (954) 262-4055.

Contact Information

Primary practice address
3200 S University Dr Davie FL 33328-2018
Phone: (954) 262-4055
Fax: (954) 262-3815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X ND243 Florida
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND243 Florida

Profile Details

NPI number 1679751556
LBN Legal business name Gordon, Marilyn S
Credentials LD/N
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2008
Last updated Apr 2nd, 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.

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