Individual
JORDAN DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 W KENNEDY BLVD STE 100, TAMPA, FL 33609-2457
(000) 000-0000
Mailing address
7512 S KISSIMMEE ST, TAMPA, FL 33616-2831
(315) 941-8347
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT36228
FL
Other
Enumeration date
10/15/2020
Last updated
03/19/2024
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