MEDICARE: TELE-ME ABOUT IT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1245004472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TELE-ME ABOUT IT LLC

Provider Business Mailing Address
First Line	:	3425 BAYSIDE LAKES BLVD SE STE 103
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-6867
Country	:	US
Telephone Number	:	321-557-3065
Fax Number	:

Provider Business Practice Location Address
First Line	:	2861 EMERSON DR SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-5254
Country	:	US
Telephone Number	:	321-557-3065
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	MS. DOMINIQUE GORDON
Credential	:	FNP-C, PMHNP-BC
Telephone Number	:	321-557-3065

Provider Enumeration Date	:	11/08/2023
Last Update Date	:	12/02/2025

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