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Individual
MATTHEW DOUGLAS JORDAN
Active
Individual
MATTHEW DOUGLAS JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO.000313
LA
207R00000X
Internal Medicine Physician
OS13050
FL
207R00000X
Internal Medicine Physician
Primary
R7778
TX
208M00000X
Hospitalist Physician
DO.000313
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014712200
—
FL
05
—
2150626
—
LA
01
—
WILL SUBMIT
RAILROAD MEDICARE
FL
Enumeration date
03/31/2011
Last updated
09/10/2018
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