Individual
FELICIA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 BAYCREST DR, LAKELAND, FL 33805-2614
(863) 212-5578
Mailing address
1006 BAYCREST DR, LAKELAND, FL 33805-2614
(863) 212-5578
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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