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Individual
JORDAN DORSEY
Active
Individual
JORDAN DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11015603
FL
363L00000X
Nurse Practitioner
11015603
FL
Other
Enumeration date
10/28/2021
Last updated
02/04/2024
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