Organization
JORDANIA PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA JORDANIA MD (ONWER/PHYSICIAN)
(630) 740-8375
Entity
Organization
Contact information
Practice address
25111 PENNYROYAL DR, BONITA SPRINGS, FL 34134
(630) 740-8375
Mailing address
25111 PENNYROYAL DR, BONITA SPRINGS, FL 34134
(630) 740-8375
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
ME126750
FL
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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