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
Phone: (321) 752-1491
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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