Individual
DR. JOURDAN VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
86 W UNDERWOOD ST STE 200, ORLANDO, FL 32806-1110
(407) 841-5133
(407) 237-6313
Mailing address
3090 CARUSO CT STE 50, ORLANDO, FL 32806-8565
(407) 237-6313
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME167481
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN33450
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TRN33450
TRAINING LICENSE
FL
Enumeration date
06/28/2021
Last updated
07/04/2024
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