Individual
JORDAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
21493 WOODCHUCK WAY, BOCA RATON, FL 33428-2656
(561) 289-3328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
FL
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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