Diandra K Gordon (NPI# 1548571060, PAC ID# 2062647340) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1548571060 |
| PAC ID by PECOS | 2062647340 |
| Professional Enrollment ID | I20131022000492 |
| Full Name | Diandra K Gordon |
| Address |
1740 Edgewood Ave W Jacksonville FL 32208-3260 |
| Gender | F |
| Medical School | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PODIATRY |
| Secondary Specialties | HOSPICE/PALLIATIVE CARE, PERIPHERAL VASCULAR DISEASE, PHYSICAL MEDICINE AND REHABILITATION, PREVENTATIVE MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1740 Edgewood Ave W, Jacksonville, FL 32208-3260 | ||
| 905 Beach Blvd, Jacksonville, FL 32250-4303 | 9412418300 | JORGE A AGUILAR MD PA |
| Street Address |
1740 EDGEWOOD AVE W |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32208-3260 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald H Auerbach | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 5045 Soutel Dr, Suite 12, Jacksonville, FL 32208-1885 |
| Eric Stewart | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 5045 Soutel Dr, Suite 12, Jacksonville, FL 32208-1885 |
| Christina Helena Feliciano | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 5045 Soutel Dr, Jacksonville, FL 32208-1885 |
| George L Albert | Chiropractic | 9360 Lem Turner Rd, Jacksonville, FL 32208-2200 | |
| Rogers Cain | Family Medicine | 9390 Lem Turner Rd, Suite 1, Jacksonville, FL 32208-2200 | |
| Ilona S Fenyo-morales | Physician Assistant | University of Florida Jacksonville Physicians, Inc. | 1255 Lila St, Jacksonville, FL 32208-3550 |
| Leonard J Herring Iii | Physician Assistant | University of Florida Jacksonville Physicians, Inc. | 1255 Lila St, Jacksonville, FL 32208-3550 |
| Gretta Elaine Langley | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1255 Lila St, Jacksonville, FL 32208-3550 |
| Anna Gajda | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 1255 Lila St, Jacksonville, FL 32208-3550 |
| Cornelia M Mccullough | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1255 Lila St, Jacksonville, FL 32208-3550 |
| Find all physicians in zip 32208 | |||
| City | JACKSONVILLE |
| Zip Code | 32208 |
| Specialty | PODIATRY |
| City + Specialty | JACKSONVILLE + PODIATRY |
Please comment or provide details below to improve the information on Diandra K Gordon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.