Individual
JORDAN MUSSARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9801 GLADES RD, BOCA RATON, FL 33434-3918
(561) 487-9912
(561) 487-5070
Mailing address
9750 NW 33RD ST, SUITE 101, CORAL SPRINGS, FL 33065-4042
(954) 752-9220
(954) 755-5025
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME66777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379352400
—
FL
Enumeration date
11/18/2005
Last updated
11/04/2011
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