Gordon Penn, O.D

NPI 1417960881 · on the registry since 2006 · sole proprietor

Practice

Address: 8500 N Wickham Rd
Viera, FL 32940
Phone: (321) 259-4393
Fax: (321) 242-6132
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Dr. Gordon J. Penn And Associates Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 152WC0802X
152WC0802X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-10-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida