Individual
CARLOS ALBERTO JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 287-5200
(772) 288-5834
Mailing address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 287-5200
(772) 288-5834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32623
SC
207R00000X
Internal Medicine Physician
35122234
OH
207R00000X
Internal Medicine Physician
Primary
ME153725
FL
390200000X
Student in an Organized Health Care Education/Training Program
57.014207
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326230
—
SC
05
—
GP5462
—
SC
Enumeration date
12/17/2007
Last updated
05/15/2024
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