Conrad, Jordan Adam

Conrad, Jordan Adam is an individual health care provider with primary practice located at 12880 Commodity Pl , Tampa FL 33626-3101. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Conrad, Jordan Adam can be contacted via phone (813) 343-5500.

Contact Information

Primary practice address
12880 Commodity Pl Tampa FL 33626-3101
Phone: (813) 343-5500
Fax: (866) 462-7445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9107357 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002789 Connecticut

Profile Details

NPI number 1942557178
LBN Legal business name Conrad, Jordan Adam
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2012
Last updated Oct 10th, 2013 - about 12 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.

Request for update

Popular Providers