Individual
TIMOTHY MICHAEL JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1551 W BAY DR STE 300, LARGO, FL 33770-2209
(727) 581-3550
(184) 429-7880
Mailing address
1551 W BAY DR STE 300, LARGO, FL 33770-2209
(727) 581-3350
(727) 586-6190
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OS15966
FL
207R00000X
Internal Medicine Physician
5101020439
MI
207RC0000X
Cardiovascular Disease Physician
Primary
OS15966
FL
Other
Enumeration date
03/12/2013
Last updated
04/16/2025
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