Individual
JORDAN KUDLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2460
(904) 271-6000
Mailing address
1306 BRIGHTON AVE, MYRTLE BEACH, SC 29588-5411
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
238832
SC
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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