Gordon, Charity J

Gordon, Charity J is an individual health care provider with primary practice located at 2919 W Swann Ave Ste 106 , Tampa FL 33609-4049. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Gordon, Charity J can be contacted via phone (813) 930-2829.

Contact Information

Primary practice address
2919 W Swann Ave Ste 106 Tampa FL 33609-4049
Phone: (813) 930-2829
Fax: (813) 930-9522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 11018594 Florida

Profile Details

NPI number 1720791197
LBN Legal business name Gordon, Charity J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2023
Last updated Jul 17th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720791197 NPPES
Florida MEDICAID 116637800

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