Individual
LINDA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 W INDIANTOWN RD STE 7, JUPITER, FL 33458-6813
(412) 965-0692
Mailing address
1102 W INDIANTOWN RD STE 7, JUPITER, FL 33458-6813
(412) 965-0692
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
RN235479
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
VP000749A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922017441
—
PA
Enumeration date
08/05/2006
Last updated
11/25/2021
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