Gordon, Randy M

Gordon, Randy M is an individual health care provider with primary practice located at 7547 Jacque Rd , Hudson FL 34667-7163. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Gordon, Randy M can be contacted via phone (727) 862-8561.

Contact Information

Primary practice address
7547 Jacque Rd Hudson FL 34667-7163
Phone: (727) 862-8561
Fax: (727) 861-1951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3203702 Florida

Profile Details

NPI number 1265452833
LBN Legal business name Gordon, Randy M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Mar 1st, 2011 - about 13 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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