Individual
TRACEY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 SW 8TH ST, DEERFIELD BEACH, FL 33441-5237
(954) 947-9050
Mailing address
280 SW 8TH ST, DEERFIELD BEACH, FL 33441-5237
(954) 947-9050
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
FL
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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