Harry F Gordon, MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME56591 Issued in FL

Legal business name

HARRY F GORDON, MD, LLC

Practice address

1601 Park Center Dr
Suites 3,4,5
Orlando, FL 32835-5700

Phone

(407) 522-4555

Fax

(407) 226-2898

NPI assigned

Apr 22, 2008

Last updated

Dec 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ruchi Ahluwalia

Title

Clinic Director

Phone

(407) 274-0300

Specialties & licenses 1

Addresses

Other names 1

• Family Care of Southwest Orlando Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harry F Gordon, MD

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1063456663
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1346414364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PARK CENTER DR STE 345",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355700",
            "telephone_number": "407-351-3673",
            "fax_number": "407-226-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PARK CENTER DR",
            "address_2": "SUITES 3,4,5",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355700",
            "telephone_number": "407-522-4555",
            "fax_number": "407-226-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY F GORDON, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "AHLUWALIA",
        "authorized_official_first_name": "RUCHI",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "407-274-0300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME56591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care of Southwest Orlando",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Family Care of Southwest Orlando",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kevin Harrison, PHARMD
• Trimaine Harrison, OTA
• Harrison's Pharmacy
• Harrison's Pharmacy LLC (Harrison's Pharmacy)
• Ilham Harriz, LCSW
• Udene (Eudene) Kathryn Harry, MD
• Brian Harshman, M.D.
• Ages Lanar Hart
• Destiny Bonay Hart
• Erin Hart

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.