Randy M Gordon, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3203702 Issued in FL

Practice address

7547 Jacque Rd
Hudson, FL 34667-7163

Phone

(727) 862-8561

Fax

(727) 861-1951

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1265452833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7547 JACQUE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677163",
            "telephone_number": "727-862-8561",
            "fax_number": "727-861-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7547 JACQUE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677163",
            "telephone_number": "727-862-8561",
            "fax_number": "727-861-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RANDY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "3203702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Gomez, MD
• Juan Gonzalez, MD
• Kenny Gonzalez
• Kenneth Edward Goodell, PTA
• Goodwillus Medical Clinic, LLC
• Thomas Canyon Gore, DO
• Muna Goyal, M.D
• Rajiva Goyal, M.D.
• Savannah L Grandy
• Stephanie Grant, MD

• Nurse Practitioner in Hudson, FL
• Providers in Hudson, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.