Individual
MRS. BARBARA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2040C TAMIAMI TRL, PORT CHARLOTTE, FL 33948-2178
(941) 629-4464
(941) 629-4701
Mailing address
2040C TAMIAMI TRL, PORT CHARLOTTE, FL 33948-2178
(941) 629-4464
(941) 629-4701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP3273802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306152300
—
FL
Enumeration date
12/01/2008
Last updated
12/01/2008
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