Gordon, Vianny

Gordon, Vianny is an sole proprietor health care provider with primary practice located at 780 S Apollo Blvd Ste 104 , Melbourne FL 32901-1402. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gordon, Vianny can be contacted via phone (321) 432-2572.

Contact Information

Primary practice address
780 S Apollo Blvd Ste 104 Melbourne FL 32901-1402
Phone: (321) 432-2572
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA14672 Florida

Profile Details

NPI number 1639623341
LBN Legal business name Gordon, Vianny
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2016
Last updated Aug 10th, 2016 - about 9 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 1639623341 NPPES
Florida Other SA14672 STATE LICENSE

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