Organization
JESSICA JORDAN OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA M JORDAN OD (OPTOMETIRST)
(808) 286-5529
Entity
Organization
Contact information
Practice address
1771 DUNLAWTON AVE, PORT ORANGE, FL 32127-4757
(386) 304-7360
Mailing address
3900 YORKTOWNE BLVD APT 4904, PORT ORANGE, FL 32129-6033
(808) 286-5529
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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