Gordon, Paul R.

Gordon, Paul R. is an individual health care provider with primary practice located at 1717 S Orange Ave Ste 100 Nemours Childrens Clinic, Orlando,, Orlando FL 32806-2946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Gordon, Paul R. can be contacted via phone (407) 650-7000.

Contact Information

Primary practice address
1717 S Orange Ave Ste 100 Nemours Childrens Clinic, Orlando, Orlando FL 32806-2946
Phone: (407) 650-7000
Fax: (407) 567-5924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X ME88011 Florida

Profile Details

NPI number 1275560831
LBN Legal business name Gordon, Paul R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Sep 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275560831 NPPES
Florida MEDICAID 2677831-00
Florida MEDICAID 267783100

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