MARILYN S GORDON (NPI# 1679751556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679751556 |
| Entity Type | Individual |
| Full Name | MARILYN S GORDON |
| Credential | LD/N |
| Practice Address |
3200 S University Dr Davie FL 33328-2018 |
| Mailing Address |
3200 S University Dr Assembly Bldg. # 2 Room 202 Davie FL 33328-2018 |
| Practice Telephone | 9542624055 |
| Practice Fax Number | 9542623815 |
| Mailing Telephone | 9542624343 |
| Mailing Fax Number | 9542622269 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | ND243 | FL | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | ND243 | FL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508174848 | Marilyn Gordon | Licensed Practical Nurse | 1485 Burke Ave, Bronx, NY 10469-3029 | 2010-09-21 |
| 1598716698 | Marilyn Gordon | Internal Medicine | 107a County Rd, N Falmouth, MA 02556-2019 | 2006-05-13 |
| 1184620270 | Marilyn Schulz Gordon | Obstetrics & Gynecology | 856 W 4th North St, Morristown, TN 37814-3813 | 2005-06-23 |
| 1174562896 | Marilyn L Gordon | Internal Medicine | 817 Federal St, Camden, NJ 08103-1539 | 2006-06-06 |
| Street Address |
3200 S UNIVERSITY DR |
| City | DAVIE |
| State | FL |
| Zip Code | 33328-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495525 | Sharon Crane Siegel | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2005-05-24 |
| 1902419609 | Erika Zwachte | Pharmacist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-24 |
| 1578174462 | Teresa Aliana Gonzalez Escalona | Student in an Organized Health Care Education/Training Program | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-13 |
| 1396356275 | Fahra Y Dawood | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-13 |
| 1457962235 | Serena Ghodasra | Student in an Organized Health Care Education/Training Program | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-13 |
| 1487265476 | Ashley Culver | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-12 |
| 1417568635 | Yaseen Waqar | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-11 |
| 1184241465 | Sydney Si Ying Lin | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-07-02 |
| 1013534528 | Samantha Krueger | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-06-30 |
| 1124645056 | Crystal Kaye Victor | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496708 | Venise Jacqueslouis | Behavior Technician | 8001 We 36th St, Suite 9, Davie, FL 33328 | 2019-09-17 |
| 1134780539 | 1st Nursing Care Services | Registered Nurse | 10335 Sw 50th Ct, Cooper City, FL 33328 | 2019-06-26 |
| 1023572245 | Rezan Tewolde | Pharmacist | 37772 Churchill Downs Drive, Davie, FL 33328 | 2019-01-23 |
| 1497237820 | Yasmeen Dahsheh | Behavior Technician | 8001 Sw 36th Street Suite #9, Davie, FL 33328 | 2018-09-01 |
| 1831686948 | Kristal Arias | Behavior Technician | 8001 Sw 36th Street, Suite #9, Davie, FL 33328 | 2018-04-16 |
| 1952810384 | April R Hardy | Behavior Technician | 8001 Sw 36 Street Suite 9, Davie, FL 33328 | 2017-09-28 |
| 1609391556 | Courtney M Talbert | Behavior Technician | 8001 Sw 36 St, Suite 9, Davie, FL 33328 | 2017-08-11 |
| 1639619349 | Remya Mathew | General Acute Care Hospital | 10030 Grove Ln, Cooper City, FL 33328 | 2017-02-28 |
| 1184161945 | Elizabeth Stabinski | Marriage & Family Therapist | 4900 South University Drive, Suite 200d, Davie, FL 33328 | 2017-01-31 |
| 1285097659 | Pandolfi Counseling Associates, Inc. | Social Worker | 5291 Sw 89th Ave, Cooper City, FL 33328 | 2016-04-01 |
| Find all providers in zip 33328 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889849 | Luanna Lucas Rivera | Dietitian, Registered | 3391 Lakeside Dr, Davie, FL 33328-1980 | 2019-09-05 |
| 1184026841 | Neda Rabeti | Dietitian, Registered | 2441 Sw 82nd Ave Apt 105, Davie, FL 33324-5730 | 2014-09-24 |
| 1104228345 | Toby Bass | Dietitian, Registered | 14887 Sw 37th Street, Davie, FL 33331 | 2014-09-18 |
| 1295371870 | Nadine Mikati | Dietitian, Registered | 7600 Sw 36th St, Davie, FL 33328-1902 | 2019-11-19 |
| 1104229087 | Eat Right Live Longer | Dietitian, Registered | 2441 Sw 82nd Ave Apt 105, Davie, FL 33324-5730 | 2014-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265268 | Rachel Moore Gibson | Dietitian, Registered | 5145 S Dale Mabry Hwy Unit 20412, Tampa, FL 33611-3677 | 2020-11-08 |
| 1275134520 | Dunia Santana-enamorado | Dietitian, Registered | 6141 Lanshire Dr, Tampa, FL 33634-3042 | 2020-11-03 |
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1114527256 | Jacquelyn Gabriela Baldeon Garo | Dietitian, Registered | 17701 Sw 112th Ave, Miami, FL 33157-5007 | 2020-10-28 |
| 1013516632 | Cecelia Lee Andreo | Dietitian, Registered | 3545 Victory Dr, Pace, FL 32571-8302 | 2020-10-24 |
| 1114526209 | Scientific Nutrition International LLC | Dietitian, Registered | 6295 Sunset Dr, South Miami, FL 33143-4804 | 2020-10-20 |
| 1023617446 | Madisyn Becker | Dietitian, Registered | 871 Ibis Walk Pl N Unit 7203, Saint Petersburg, FL 33716-3843 | 2020-10-19 |
| 1194323774 | Janice Cuevas Cintron | Dietitian, Registered | 5439 Limestone Ln, Lakeland, FL 33809-0830 | 2020-10-15 |
| 1194323345 | Danielle Sara Samelson | Dietitian, Registered | 4225 Cloverleaf Pl, Casselberry, FL 32707-4703 | 2020-10-10 |
| 1518564830 | Sneha Lalla | Dietitian, Registered | 14171 Metropolis Ave Ste 202, Fort Myers, FL 33912-4335 | 2020-10-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.