Jones, Gordon

Jones, Gordon is an individual health care provider with primary practice located at 461 S Nova Rd , Ormond Beach FL 32174-6138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jones, Gordon can be contacted via phone (386) 671-4337.

Contact Information

Primary practice address
461 S Nova Rd Ormond Beach FL 32174-6138
Phone: (386) 671-4337
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME83420 Florida

Profile Details

NPI number 1477513661
LBN Legal business name Jones, Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jun 13th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1477513661 NPPES
Florida Other 1477513661 TRICARE
Florida Other P00793197 TRICARE
Florida MEDICAID 014815400 TRICARE
Florida Other 62971 TRICARE
Florida Other ME83420 TRICARE

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