Gordon, Timothy

Gordon, Timothy is an individual health care provider with primary practice located at 439 Sw Michigan St , Lake City FL 32025-0440. He recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as his primary health care specialty. Gordon, Timothy can be contacted via phone (352) 374-5600.

Contact Information

Primary practice address
439 Sw Michigan St Lake City FL 32025-0440
Phone: (352) 374-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1699247833
LBN Legal business name Gordon, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2018
Last updated Dec 28th, 2018 - about 7 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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