Individual
MICHELE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 HOLLYWOOD CT N, KISSIMMEE, FL 34743-7846
(407) 348-5030
(407) 348-5030
Mailing address
206 HOLLYWOOD CT N, KISSIMMEE, FL 34743-7846
(407) 348-5030
(407) 348-5030
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300070200
—
FL
Enumeration date
04/22/2008
Last updated
04/22/2008
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