Jordan, Darin
Jordan, Darin is an individual health care provider with primary practice located at 133 Benmore Dr Ste 200 , Winter Park FL 32792-4111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jordan, Darin can be contacted via phone (407) 646-7070.Contact Information
Primary practice address
133 Benmore Dr Ste 200
Winter Park FL 32792-4111
Phone: (407) 646-7070
Fax: (407) 646-7747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36100534 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME137712 | Florida |
Profile Details
| NPI number | 1689625048 |
|---|---|
| LBN Legal business name | Jordan, Darin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Oct 21st, 2019 - about 6 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 | 1689625048 | NPPES |
| Illinois | MEDICAID | 036100534 | |
| Illinois | Other | 821050 |
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