MR. FEDERICO GORDON JR. (NPI# 1174146302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174146302 |
| Entity Type | Individual |
| Full Name | MR. FEDERICO GORDON JR. |
| Credential | MBA, MLS(ASCP) |
| Practice Address |
601 S Harbour Island Blvd Ste 109 Tampa FL 33602-5927 |
| Practice Telephone | 8134192934 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Q00000X | Spec/Tech, Pathology | SU37305 | FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
601 S HARBOUR ISLAND BLVD STE 109 |
| City | TAMPA |
| State | FL |
| Zip Code | 33602-5927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873344 | Rico Lab Services | Clinical Medical Laboratory | 601 S Harbour Island Blvd Ste 109, Tampa, FL 33602-5927 | 2020-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306482088 | Michael P. Flynn | Radiology | 1003 Bay Harbour Place, Tampa, FL 33602 | 2019-11-18 |
| 1821649211 | Shannon Tracy Munz | Nurse Practitioner | 203 N Marion St, Tampa, FL 33602 | 2019-09-26 |
| 1932682846 | Ferrara Dental Pllc | Dentist | 201 East Kennedy Blvd, Suite 1425, Tampa, FL 33602 | 2018-09-07 |
| 1639668692 | Darrell Wayne Fennell Jr. | Counselor | 400 N Ashley Dr Ste 2600, Tampa, FL 33602 | 2018-05-05 |
| 1093233967 | Synergic Healthcare Solutions LLC | Clinic/Center | 303 W Palm Ave, Tampa, FL 33602 | 2017-08-31 |
| 1568980464 | Drsoncalls | General Practice | 449 S 12th St., Unit 2801, Tampa, FL 33602 | 2017-08-31 |
| 1386178283 | Charles Stuart | Occupational Therapy Assistant | 313 E. Oak Ave, Tampa, FL 33602 | 2017-04-18 |
| 1285172122 | Frank Watson | Chiropractor | 1004 North Florida Ave., Tampa, FL 33602 | 2017-02-10 |
| 1295189801 | Stephanie Buchman | Student in an Organized Health Care Education/Training Program | 1156 Shipwatch Circle, Tampa, FL 33602 | 2016-04-20 |
| 1093189896 | Jonnique Adjmul | Counselor | 300 E Madison St Ste 201, Tampa, FL 33602 | 2015-11-17 |
| Find all providers in zip 33602 | ||||
| Taxonomy Code | 246Q00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| (1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932227667 | Jian-ping Cai | Spec/Tech, Pathology | 5610 W La Salle St, Tampa, FL 33607-1770 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942625876 | Magda Montano | Spec/Tech, Pathology | 1100 Nw 95th St, Miami, FL 33150-2038 | 2014-03-01 |
| 1861738585 | Altagracia Josefina Perez | Spec/Tech, Pathology | 1115 Sw 11th Ave, Miami, FL 33129-1820 | 2012-12-28 |
| 1922009281 | James E Eadens | Spec/Tech, Pathology | 2001 Webber St, Sarasota, FL 34239-5237 | 2005-08-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.