Jordan, Jorge

Jordan, Jorge is an individual health care provider with primary practice located at 5955 Ponce De Leon Blvd , Coral Gables FL 33146. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is his primary health care specialty. Jordan, Jorge can be contacted via phone (305) 661-1515.

Contact Information

Primary practice address
5955 Ponce De Leon Blvd Coral Gables FL 33146
Phone: (305) 661-1515
Fax: (305) 662-3723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X ARNP 1702192 Florida
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 1702192 Florida

Profile Details

NPI number 1669540019
LBN Legal business name Jordan, Jorge
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2006
Last updated Apr 4th, 2012 - about 12 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 1669540019 NPPES
Florida MEDICAID 300 705 700

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