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Organization
GORDON HEALTH CLINIC LLC
Active
Organization
GORDON HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATINA GORDON NP (OWNER)
(301) 918-5212
Entity
Organization
Contact information
Practice address
10586 SOURWOOD AVE, WALDORF, MD 20603
(301) 918-5212
Mailing address
10586 SOURWOOD AVE, WALDORF, MD 20603-5711
(301) 918-5212
(301) 517-9318
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/05/2026
Last updated
08/25/2026
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