Individual
MR. JORDAN SEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
610 E BELLA VISTA ST, LAKELAND, FL 33805-3008
(863) 688-8591
Mailing address
4726 SCHOOL RD, LAND O LAKES, FL 34638-3647
(813) 528-3724
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30295
FL
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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