# JHORDAN MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124268081
- **Authorized official:** WILLIE C. MATTHIEW (PRESIDENT)
- **Authorized official phone:** (813) 249-7370

## Contact information

- **Practice address:** 7307 ABONADO RD, TAMPA, FL 33615-2415
- **Practice address phone:** (813) 249-7370
- **Practice address fax:** (813) 886-8189
- **Mailing address:** PO BOX 260155, TAMPA, FL 33685-0155
- **Mailing address phone:** (813) 249-7370
- **Mailing address fax:** (813) 249-7370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2009
- **Last updated:** 03/04/2009