Gondor, Magdalen
Gondor, Magdalen is an individual health care provider with primary practice located at 601 5Th St S Suite 708, St Petersburg FL 33701-4804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. Gondor, Magdalen can be contacted via phone (727) 767-8249.Contact Information
Primary practice address
601 5Th St S Suite 708
St Petersburg FL 33701-4804
Phone: (727) 767-8249
Fax: (727) 767-4272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | ME75740 | Florida |
Profile Details
| NPI number | 1467433318 |
|---|---|
| LBN Legal business name | Gondor, Magdalen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Aug 18th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467433318 | NPPES |
| Florida | MEDICAID | 254042800 |
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