Mcgordon, Jacqueline Gale

Mcgordon, Jacqueline Gale is an sole proprietor health care provider with primary practice located at 1038 N Walker Ave , Lakeland FL 33805-4276. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Mcgordon, Jacqueline Gale can be contacted via phone (863) 688-9776.

Contact Information

Primary practice address
1038 N Walker Ave Lakeland FL 33805-4276
Phone: (863) 688-9776
Fax: (863) 688-9776
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 6906490 Florida

Profile Details

NPI number 1063720787
LBN Legal business name Mcgordon, Jacqueline Gale
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2010
Last updated Aug 23rd, 2011 - about 13 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.

Request for update

Popular Providers