Jordan, Michael Couzens
Jordan, Michael Couzens is an individual health care provider with primary practice located at 2137 Little Rd , Trinity FL 34655-4410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jordan, Michael Couzens can be contacted via phone (727) 372-6760.Contact Information
Primary practice address
2137 Little Rd
Trinity FL 34655-4410
Phone: (727) 372-6760
Fax: (727) 372-6808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME86866 | Florida |
Profile Details
| NPI number | 1205816840 |
|---|---|
| LBN Legal business name | Jordan, Michael Couzens |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jun 6th, 2023 - about 2 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 | 1205816840 | NPPES |
| Florida | MEDICAID | 2670593000 | |
| Florida | Other | 71107 |
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