MEDICARE: PHILLIP C. GORDON M.D.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME31515	FL

General Provider Information

NPI Number	:	1659353993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILLIP C. GORDON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 144333
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-4333
Country	:	US
Telephone Number	:	407-422-9831
Fax Number	:	407-648-2065

Provider Business Practice Location Address
First Line	:	200 AVENUE F NE
Second Line	:	DEPT. OF PATHOLOGY
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4131
Country	:	US
Telephone Number	:	863-293-1121
Fax Number	:	863-291-6071

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

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	08/03/2007

Similar Medicare Providers

1164900171 — MRS. SATORIA ARNITRA REID-ROWE APRN-C
Practice Location Address:

200 AVENUE F NE
WINTER HAVEN, FL
33881-4131

Practice Phone: 863-932-1121
Practice Fax: 863-292-4112

1760055768 — RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND
Practice Location Address:

200 AVENUE F NE
WINTER HAVEN, FL
33881-4131

Practice Phone: 863-688-2334
Practice Fax: 706-653-1230

1447611835 — SAMANTHA GIBSON ARNP
Practice Location Address:

200 AVENUE F NE
WINTER HAVEN, FL
33881-4131

Practice Phone: 321-261-8186
Practice Fax:

1578569992 — JOSEPH A CARLUCCI M.D.
Practice Location Address:

200 AVENUE F NE
WINTER HAVEN, FL
33881-4131

Practice Phone: 863-293-1191
Practice Fax:

1174515910 — DR. DAVID K EVANS MD
Practice Location Address:

200 AVENUE F NE STE 9118
WINTER HAVEN, FL
33881-4131

Practice Phone: 863-297-1777
Practice Fax: 863-297-1756

1972599587 — DR. DAVID J DODD MD
Practice Location Address:

200 AVENUE F NE STE 9118
WINTER HAVEN, FL
33881-4131

Practice Phone: 863-297-1777
Practice Fax: 863-297-1756

Directions to “ PHILLIP C. GORDON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.