RONALD GLEN GORDON APRN, FNP-BC
NPI 1255898102
Nurse Practitioner - Family in Melbourne, FL

Active since February 27, 2019
250 N WICKHAM RD, MELBOURNE, FL 32935(321) 752-1491 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ronald Glen Gordon Aprn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALD GLEN GORDON APRN, FNP-BC (NPI 1255898102) is an individual family provider in Melbourne, Florida, licensed in Florida (APRN11000215) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1255898102
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRONALD GLEN GORDONCredential: APRN, FNP-BC
Location Address250 N WICKHAM RDMelbourne, FL 32935-8625
Mailing Address2572 Diane Ave SePalm Bay, FL 32909-6448 · (321) 537-0298
Sole ProprietorYes
Enumeration DateFebruary 27, 2019
NPI 1255898102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11000215
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License RN9181705 (FL)
250 N WICKHAM RD, Melbourne, FL 32935

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
250 N WICKHAM RD
MELBOURNE, FL 32935
General Acute Care Hospital
250 N WICKHAM RD
MELBOURNE, FL 32935
Urology
250 N WICKHAM RD
MELBOURNE, FL 32935
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
250 N WICKHAM RD, PHARMACY DEPT
MELBOURNE, FL 32935
Emergency Medicine
250 N WICKHAM RD
MELBOURNE, FL 32935
Physician Assistant
250 N WICKHAM RD
MELBOURNE, FL 32935
Pharmacist
250 N WICKHAM RD
MELBOURNE, FL 32935
Emergency Medicine
250 N WICKHAM RD
MELBOURNE, FL 32935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald Gordon's NPI number?

The NPI number for Ronald Gordon is 1255898102. It was assigned to this individual provider in the NPPES registry on February 27, 2019.

Where is Ronald Gordon located?

Ronald Gordon practices at 250 N Wickham Rd, Melbourne, FL 32935. The listed phone number is (321) 752-1491.

What is Ronald Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ronald Gordon was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.