Dr. Gordon J. Penn and Associates PA

NPI #1184994733 in Viera, Florida

Provider Information

NPI Number
1184994733
Entity Type
Organization
Organization Name
Dr. Gordon J. Penn and Associates PA
Primary Specialty
Optometrist
Enumeration Date
Jan 12, 2012
Last Updated
Mar 13, 2012

Practice Location

Address
8500 N WICKHAM RD
City
Viera
State
Florida
ZIP Code
32940-6600
Phone
(321) 259-4393

Authorized Official

Name
DR. GORDON J PENN, O.D.
Title
CEO
Phone
(321) 259-4393

Specialties & Taxonomy Codes

Specialty
Optometrist

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