Individual
MS. CORINNE SANDRA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 EDGEWATER WAY, MERRITT ISLAND, FL 32953-8347
(321) 452-2401
Mailing address
141 EDGEWATER WAY, MERRITT ISLAND, FL 32953-8347
(321) 452-2401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PTA18539
FL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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