Jordan, Stacy Ann

Jordan, Stacy Ann is an individual health care provider with primary practice located at 2025 Indian Rocks Rd S , Largo FL 33774-1035. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Jordan, Stacy Ann can be contacted via phone (847) 289-9572.

Contact Information

Primary practice address
2025 Indian Rocks Rd S Largo FL 33774-1035
Phone: (847) 289-9572
Fax: (847) 888-5469
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5101021920 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101021920 Michigan
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS16125 Florida

Profile Details

NPI number 1700266608
LBN Legal business name Jordan, Stacy Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2015
Last updated Apr 22nd, 2021 - about 3 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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