Individual
MR. JORDAN BRYAN HURTADO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 W MAGNOLIA AVE, LONGWOOD, FL 32750-4130
(407) 215-0095
Mailing address
111 W MAGNOLIA AVE, LONGWOOD, FL 32750-4130
(407) 215-0095
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
05/23/2022
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