Individual
JORDAN MARIE MINISH-PRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4700 BAYOU BLVD STE 6, PENSACOLA, FL 32503-1901
(850) 477-9253
(850) 494-9843
Mailing address
4700 BAYOU BLVD STE 6, PENSACOLA, FL 32503-1901
(850) 477-9253
(850) 494-9843
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME168369
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2018
Last updated
10/29/2024
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