| Dr Leslene Gordon, RD,PHD | |
|
24754 State Road 54 Unit 102, Lutz, FL 33559-6200 | |
| (813) 504-6581 | |
| Not Available |
| Full Name | Dr Leslene Gordon |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 23 Years |
| Location | 24754 State Road 54 Unit 102, Lutz, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124259684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND1293 (Florida) | Primary |
| Provider Name | Bsh Health PA |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679303465 PECOS PAC ID: 4688164643 Enrollment ID: O20260130000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leslene Gordon, RD,PHD 1825 Candlestick Ct, Lutz, FL 33559-3352 Ph: (813) 949-3368 | Dr Leslene Gordon, RD,PHD 24754 State Road 54 Unit 102, Lutz, FL 33559-6200 Ph: (813) 504-6581 |
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