Penn, Gordon J

Penn, Gordon J is an sole proprietor health care provider with primary practice located at 8500 N Wickham Rd , Viera FL 32940-6600. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Penn, Gordon J can be contacted via phone (321) 259-4393.

Contact Information

Primary practice address
8500 N Wickham Rd Viera FL 32940-6600
Phone: (321) 259-4393
Fax: (321) 242-6132
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2710 Florida

Profile Details

NPI number 1417960881
LBN Legal business name Penn, Gordon J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Oct 7th, 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.

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