Individual
HENRY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6917 SETON LN, TAMPA, FL 33634-2946
(727) 320-7620
Mailing address
6917 SETON LN, TAMPA, FL 33634-2946
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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