Individual
JEORDAN RAE DELP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-2606
(239) 343-3695
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2606
(239) 343-3695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122851200
—
FL
Enumeration date
06/12/2024
Last updated
08/07/2024
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