| Harry F Gordon, Md, Llc | |
|
1601 Park Center Dr Suites 3,4,5 Orlando FL 32835-5700 | |
| (407) 522-4555 | |
| (407) 226-2898 |
| Full Name | Harry F Gordon, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1601 Park Center Dr, Orlando, Florida |
| Authorized Official Name and Position | Ruchi Ahluwalia (CLINIC DIRECTOR) |
| Authorized Official Contact | 4072740300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harry F Gordon, Md, Llc 1601 Park Center Dr Ste 345 Orlando FL 32835-5700 Ph: (407) 351-3673 | Harry F Gordon, Md, Llc 1601 Park Center Dr Suites 3,4,5 Orlando FL 32835-5700 Ph: (407) 522-4555 |
| NPI Number | 1346414364 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 12/22/2020 |
| Medicare PECOS PAC ID | 3577581230 |
|---|---|
| Medicare Enrollment ID | O20081022000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346414364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME56591 (Florida) | Primary |
| Provider Name | Harry F Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063456663 PECOS PAC ID: 0345281606 Enrollment ID: I20050517000443 |
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