Organization
EVERGREEN MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN H. JORDAN D.C. (MNGR.)
(954) 415-8253
Entity
Organization
Contact information
Practice address
5944 CORAL RIDGE DR # 138, CORAL SPRINGS, FL 33076-3300
(954) 415-8253
Mailing address
5944 CORAL RIDGE DR # 138, CORAL SPRINGS, FL 33076-3300
(954) 415-8253
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH4871
FL
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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