GORDON J RAFOOL (NPI# 1407825821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407825821 |
| Entity Type | Individual |
| Full Name | GORDON J RAFOOL |
| Credential | MD |
| Practice Address |
635 1st St N Winter Haven FL 33881-4129 |
| Practice Telephone | 8632940670 |
| Practice Fax Number | 8632983200 |
| Mailing Telephone | 8632940670 |
| Mailing Fax Number | 8632983200 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME18395 | FL | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
ME18395 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE ID/ RRM PIN | 010011714 | 01 |
| FL | 062153600 | 05 |
| Street Address |
635 1ST ST N |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819853 | Mary R De Sena | Family Medicine | 635 1st St N, Winter Haven, FL 33881-4129 | 2005-08-29 |
| 1467916551 | Dorothea Annette Thompson | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2019-01-23 |
| 1790261964 | Tiffney M Martin | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2018-07-11 |
| 1669966719 | Ashley Nicole Penaloza | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881 | 2018-06-20 |
| 1285128082 | Julie Kregl Earp | Family Medicine | 635 1st St N, Winter Haven, FL 33881-4191 | 2018-06-15 |
| 1558854075 | Molly Leigh Fox | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2018-06-09 |
| 1891204608 | Roxanna Ford | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4191 | 2017-09-25 |
| 1922543966 | Cecilia Mcdonald | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2016-12-29 |
| 1629434808 | Crystal Elizabeth Ingle | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2016-01-04 |
| 1821453044 | Michele Murphy | Nurse Practitioner | 635 1st St N, Winter Haven, FL 33881-4129 | 2015-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285970160 | Douglas Mclean Roy I | Family Medicine | 9 Skidmore Rd, Winter Haven, FL 33884-3039 | 2012-12-20 |
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|---|---|---|---|---|
| 1821620618 | Heather J Cappello LLC | Family Medicine | 2571 Dick Wilson Dr, Sarasota, FL 34240-8722 | 2020-02-10 |
| 1225682784 | Brevard Geriatrics, LLC | Family Medicine | 720 E New Haven Ave Suite 11, Melbourne, FL 32901-5474 | 2019-08-01 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1184137929 | Saint George Medical Center Inc | Family Medicine | 1118 Hospital Rd, Fort Walton Beach, FL 32547-6742 | 2017-11-15 |
| 1750835211 | Gainesville Geriatric Rehabilitation Medicine LLC | Family Medicine | 5002 Nw 15th Pl, Gainesville, FL 32605-4555 | 2016-08-12 |
| 1033570171 | Reliance Med, LLC | Family Medicine | 8450 Reymont St, Orlando, FL 32827-7430 | 2016-03-17 |
| 1013375062 | Kravitz Physician Services, P.a. | Family Medicine | 5150 Nw 82nd Ter, Coral Springs, FL 33067-2811 | 2016-02-05 |
| 1972968089 | Wm R George II Md Pa | Family Medicine | 327 Plaza Real Ste 307, Boca Raton, FL 33432-3944 | 2015-12-17 |
| 1710369020 | Robert N. Baskin, Md, P.a. | Family Medicine | 2108 N Golfview Dr, Plant City, FL 33566-6768 | 2015-06-23 |
| Find all providers with the same taxonomy | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
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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.