Gordon, Eliza

Gordon, Eliza is an individual health care provider with primary practice located at 2100 Nebraska Ave Ste 201 , Fort Pierce FL 34950-4832. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gordon, Eliza can be contacted via phone (772) 465-8100.

Contact Information

Primary practice address
2100 Nebraska Ave Ste 201 Fort Pierce FL 34950-4832
Phone: (772) 465-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA5930 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9115183 Florida

Profile Details

NPI number 1962952614
LBN Legal business name Gordon, Eliza
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2016
Last updated Nov 8th, 2021 - about 5 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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