Heath, Jordan Lupo
Heath, Jordan Lupo is an individual health care provider with primary practice located at 4343 Newberry Rd Ste 1 , Gainesville FL 32607-2822. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Heath, Jordan Lupo can be contacted via phone (352) 331-3502.Contact Information
Primary practice address
4343 Newberry Rd Ste 1
Gainesville FL 32607-2822
Phone: (352) 331-3502
Fax: (352) 331-3488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | ME149410 | Florida |
Profile Details
| NPI number | 1114360930 |
|---|---|
| LBN Legal business name | Heath, Jordan Lupo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2013 |
| Last updated | Sep 1st, 2021 - about 3 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 | 1114360930 | NPPES |
| Florida | MEDICAID | 111133800 |
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