Individual
REBECCA GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1335 SLIGH BLVD STE 200, ORLANDO, FL 32806-3901
(407) 649-6884
(407) 425-7059
Mailing address
1335 SLIGH BLVD STE 200, ORLANDO, FL 32806-3901
(407) 649-6884
(407) 425-7059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA9120911
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129008300
—
FL
Enumeration date
09/25/2025
Last updated
11/04/2025
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