Individual
ALLEN GENE JORDAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5979 VINELAND RD STE 101, ORLANDO, FL 32819-7860
(407) 355-3120
(407) 355-3119
Mailing address
PO BOX 2723, WINDERMERE, FL 34786-2723
(407) 355-3120
(407) 355-3119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115364
FL
Other
Enumeration date
12/08/2021
Last updated
01/06/2025
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