Organization
JORDYCO DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABEL PANESSO (CREDENTIALING)
(561) 200-2566
Entity
Organization
Contact information
Practice address
3915 BISCAYNE BLVD STE 301, MIAMI, FL 33137-3730
(561) 200-2566
Mailing address
3915 BISCAYNE BLVD STE 301, MIAMI, FL 33137-3730
(561) 200-2566
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
LC11484
FL
207Q00000X
Family Medicine Physician
LC11484
FL
247100000X
Radiologic Technologist
LC11484
FL
261QI0500X
Infusion Therapy Clinic/Center
LC11484
FL
261QM1300X
Multi-Specialty Clinic/Center
Primary
LC11484
FL
Other
Enumeration date
02/26/2015
Last updated
07/21/2022
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