Individual
MS. CHARITY J GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2919 W SWANN AVE STE 106, TAMPA, FL 33609-4049
(813) 930-2829
(813) 930-9522
Mailing address
3001 EXECUTIVE DR STE 130, CLEARWATER, FL 33762-5323
(727) 347-0005
(727) 541-6558
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11018594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116637800
—
FL
Enumeration date
01/02/2023
Last updated
07/17/2024
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