Individual
JORGE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146
(305) 661-1515
(305) 662-3723
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146
(305) 661-1515
(305) 662-3723
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
ARNP 1702192
FL
363LN0000X
Neonatal Nurse Practitioner
Primary
1702192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300 705 700
—
FL
Enumeration date
12/02/2006
Last updated
04/04/2012
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