Individual
DR. DARIN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BENMORE DR STE 200, WINTER PARK, FL 32792-4111
(407) 646-7070
(407) 646-7747
Mailing address
133 BENMORE DR STE 200, WINTER PARK, FL 32792-4111
(407) 646-7070
(407) 646-7747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36100534
IL
207Q00000X
Family Medicine Physician
Primary
ME137712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100534
—
IL
01
—
821050
MEDICARE GROUP PTAN
IL
Enumeration date
05/12/2006
Last updated
10/21/2019
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