Gordon, Robert Henry
Gordon, Robert Henry is an sole proprietor health care provider with primary practice located at 1119 Sand Creek Loop , Ocoee FL 34761-1434. He recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as his primary health care specialty. Gordon, Robert Henry can be contacted via phone (407) 346-9498.Contact Information
Primary practice address
1119 Sand Creek Loop
Ocoee FL 34761-1434
Phone: (407) 346-9498
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X | 236888 | Florida |
Profile Details
| NPI number | 1871105429 |
|---|---|
| LBN Legal business name | Gordon, Robert Henry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2020 |
| Last updated | Aug 17th, 2020 - 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 | 1871105429 | NPPES |
| Florida | MEDICAID | 236888 |
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