Gordon, Ronald Glen

Gordon, Ronald Glen is an sole proprietor health care provider with primary practice located at 250 N Wickham Rd , Melbourne FL 32935-8625. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Wound Care. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Gordon, Ronald Glen can be contacted via phone (321) 752-1491.

Contact Information

Primary practice address
250 N Wickham Rd Melbourne FL 32935-8625
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11000215 Florida
Nursing Service Providers / Wound Care 163WW0000X RN9181705 Florida

Profile Details

NPI number 1255898102
LBN Legal business name Gordon, Ronald Glen
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2019
Last updated Feb 27th, 2019 - about 5 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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