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Individual

DR. JORDAN C ISERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 GARDEN GATE CIR, PENSACOLA, FL 32504-8629
(850) 478-0008
(850) 494-1817
Mailing address
900 GARDEN GATE CIRCLE, PENSACOLA, FL 32504-8629
(850) 478-0008
(850) 494-1817

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
ME61308
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020746
VALUE OPTIONS
FL
01
14886
BLUECROSSBLUE SHIELD
FL
Enumeration date
01/17/2007
Last updated
01/30/2017
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