# JORDYCO DIAGNOSTICS LLC

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

## Provider details

- **NPI number:** 1265824387
- **Authorized official:** ISABEL PANESSO (CREDENTIALING)
- **Authorized official phone:** (561) 200-2566

## Contact information

- **Practice address:** 3915 BISCAYNE BLVD STE 301, MIAMI, FL 33137-3730
- **Practice address phone:** (561) 200-2566
- **Mailing address:** 3915 BISCAYNE BLVD STE 301, MIAMI, FL 33137-3730
- **Mailing address phone:** (561) 200-2566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | LC11484 | FL | — |
| 207Q00000X | Family Medicine Physician | LC11484 | FL | — |
| 247100000X | Radiologic Technologist | LC11484 | FL | — |
| 261QI0500X | Infusion Therapy Clinic/Center | LC11484 | FL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | LC11484 | FL | Yes |

## Other

- **Enumeration date:** 02/26/2015
- **Last updated:** 07/21/2022