Gordon, Seth
Gordon, Seth is an individual health care provider with primary practice located at 805 E Cr 466 , Lady Lake/Villages FL 32159. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gordon, Seth can be contacted via phone (352) 674-9218.Contact Information
Primary practice address
805 E Cr 466
Lady Lake/Villages FL 32159
Phone: (352) 674-9218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 9113034 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 017578 | New York |
Profile Details
| NPI number | 1780091280 |
|---|---|
| LBN Legal business name | Gordon, Seth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2014 |
| Last updated | Oct 22nd, 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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