Bordelon, John G.

Bordelon, John G. is an individual health care provider with primary practice located at 1577 Roberts Drive Suite #323 , Jacksonville Beach FL 32250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bordelon, John G. can be contacted via phone (904) 241-9775.

Contact Information

Primary practice address
1577 Roberts Drive Suite #323 Jacksonville Beach FL 32250
Phone: (904) 241-9775
Fax: (904) 249-3638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME59137 Florida

Profile Details

NPI number 1881655207
LBN Legal business name Bordelon, John G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Mar 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881655207 NPPES
Florida MEDICAID 252394900

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