Doctor Name: | RICHARD Z ORDON |
NPI Number: | 1023100252 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A.-C |
License Number: | PA3362 |
Business Practice Address: | 604 Oak Commons Blvd Kissimmee, FL - 347414198 |
Business Phone Number: | 4078466004 |
Business Fax Number: | 4078461422 |
Mailing Address: | 604 Oak Commons Blvd, KISSIMMEE |
State: | FL |
Postal Code: | 347414198 |
Phone Number: | 4078466004 |
Fax Number: | 4078461422 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA3362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |