| Ms Shaniel Gordon, FNP | |
|
1280 Tallow Rd, Apopka, FL 32703-8443 | |
| (954) 732-7760 | |
| Not Available |
| Full Name | Ms Shaniel Gordon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1280 Tallow Rd, Apopka, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033945472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11029731 (Florida) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN11029731 (Florida) | Primary |
| Entity Name | Health First Privia Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shaniel Gordon, FNP 1280 Tallow Rd, Apopka, FL 32703-8443 Ph: (954) 732-7760 | Ms Shaniel Gordon, FNP 1280 Tallow Rd, Apopka, FL 32703-8443 Ph: (954) 732-7760 |
Patricia Edwards-graham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 E 7th St, Apopka, FL 32703 Phone: 407-905-8827 Fax: 407-886-4282 | |
Basant Samaan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3883 Brantley Place Cir, Apopka, FL 32703 Phone: 407-545-6232 | |
Ms. Cavel Sylvia Elliott, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1475 W Orange Blossom Trl, Apopka, FL 32712 Phone: 407-537-2767 Fax: 407-612-2312 | |
Ms. Catherine Anne Fleming, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 427 Haverlake Cir, Apopka, FL 32712 Phone: 321-230-1074 | |
Yaraddie Duarte, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2210 Pinyon Rd, Apopka, FL 32703 Phone: 407-556-7244 | |
Minimol Chirakarottu Mathew, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 Wekiva Commons Cir, Apopka, FL 32712 Phone: 407-464-9516 Fax: 407-464-9519 |