Faine-Siadman, Jordana B
Faine-Siadman, Jordana B is an sole proprietor health care provider with primary practice located at 3601 Ne 25Th Ave , Fort Lauderdale FL 33308-6301. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Faine-Siadman, Jordana B can be contacted via phone (954) 568-0682.Contact Information
Primary practice address
3601 Ne 25Th Ave
Fort Lauderdale FL 33308-6301
Phone: (954) 568-0682
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT19480 | Florida |
Profile Details
NPI number | 1245380252 |
---|---|
LBN Legal business name | Faine-Siadman, Jordana B |
Credentials | MSPT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 11th, 2007 |
Last updated | Nov 19th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245380252 | NPPES |
Florida | MEDICAID | 886456000 |
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