Dominique S Gordon, FNP-C, PMHNP-BC Valid NPI
Individual provider · Family Nurse Practitioner · Viera, FL
- NPI
- 1982204178
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- APRN11014427 (FL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-10-28
- Last updated
- 2025-11-06
Practice location
7000 Spyglass Ct Ste 220
Viera, FL 32940-7948
(321) 728-6072