Individual
MICHAEL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
13590 JOG RD, SUITE 7, DELRAY BEACH, FL 33446-3807
(561) 637-4200
Mailing address
13590 JOG RD, SUITE 7, DELRAY BEACH, FL 33446-3807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3813
FL
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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