Healthcare Provider Details

I. General information

NPI: 1023100252
Provider Name (Legal Business Name): RICHARD Z ORDON P.A.-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 BUDINGER AVE STE C
SAINT CLOUD FL
34769-6005
US

IV. Provider business mailing address

1600 BUDINGER AVE STE C
SAINT CLOUD FL
34769-6005
US

V. Phone/Fax

Practice location:
  • Phone: 321-843-5851
  • Fax: 407-599-1691
Mailing address:
  • Phone: 321-843-5851
  • Fax: 407-599-1691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA3362
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: