MEDICARE: RICHARD Z ORDON P.A.-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	PA3362	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023100252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD Z ORDON P.A.-C

Provider Business Mailing Address
First Line	:	1600 BUDINGER AVE STE C
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-6005
Country	:	US
Telephone Number	:	321-843-5851
Fax Number	:	407-599-1691

Provider Business Practice Location Address
First Line	:	1600 BUDINGER AVE STE C
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-6005
Country	:	US
Telephone Number	:	321-843-5851
Fax Number	:	407-599-1691

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	12/15/2025

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