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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JACQUELINE GALE MCGORDON

Active Sole Proprietor

MS. JACQUELINE GALE MCGORDON is a Assisted Living Facility healthcare provider located in LAKELAND, Florida. NPI 1063720787 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · LAKELAND, FL

Registration Details

NPI Number
1063720787
Provider Type
Individual
Gender
Female
NPI Issued
Sep 15, 2010 (15.932698902273 yrs)
Last Updated
Aug 23, 2011
License
6906490 (FL)
Sole Proprietor
Yes

Practice Information

Address
1038 N WALKER AVE
LAKELAND, FL, 338054276
Browse FL providers · Browse ZIP 33805
Phone
8636889776
Fax
8636889776
Primary Specialty
Assisted Living Facility
311ZA0620X

Other Assisted Living Facility Providers in LAKELAND, FL

Name Credential NPI
JUDITH BARRET DOUGLAS 1780086553
DETRA MORRISON 1396225249
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.