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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1245380252 NPPES
Florida MEDICAID 886456000

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