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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1689625048 NPPES
Illinois MEDICAID 036100534
Illinois Other 821050

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