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Individual

DR. LONNA GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PHARM D

Contact information

Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827
(407) 567-4000
(407) 567-5924
Mailing address
10140 CENTURION PKWY N FL PROVIDER, JACKSONVILLE, FL 32256-0532
(904) 697-3600

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C1-0013322
DE
208000000X
Pediatrics Physician
ME135539
FL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME135539
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024920900
FL
Enumeration date
07/02/2009
Last updated
12/31/2019
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