NPI 1235368945 · live from the CMS NPI Registry
Lonna Gordon, M.D., Pharm D
Pediatrics, Adolescent Medicine in Orlando, FL. National Provider Identifier 1235368945, active.
NPI record
| NPI | 1235368945 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 13535 Nemours Pkwy, Orlando, FL 32827 |
| Practice phone | 407-567-4000 |
| Mailing address | 10140 Centurion Pkwy N Fl Provider, Jacksonville, FL 32256 |
| Enumerated | July 2, 2009 |
| Last updated | December 31, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | ME135539 (FL) |
| Pediatrics | 208000000X | C1-0013322 (DE) |
| Pediatrics, Adolescent Medicine primary | 2080A0000X | ME135539 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.