Jordan, Patrick J

Jordan, Patrick J is an individual health care provider with primary practice located at 201 E Sample Rd C/O North Broward Medical Center, Deerfield Beach FL 33064-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Jordan, Patrick J can be contacted via phone (954) 786-6755.

Contact Information

Primary practice address
201 E Sample Rd C/O North Broward Medical Center Deerfield Beach FL 33064-3502
Phone: (954) 786-6755
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME51817 Florida

Profile Details

NPI number 1104880913
LBN Legal business name Jordan, Patrick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104880913 NPPES
Florida MEDICAID 062213300

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