Jordan Villegas, Alejandro

Jordan Villegas, Alejandro is an individual health care provider with primary practice located at 60 W Gore Street , Orlando FL 32806-1101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Jordan Villegas, Alejandro can be contacted via phone (407) 481-7360.

Contact Information

Primary practice address
60 W Gore Street Orlando FL 32806-1101
Fax: (407) 481-7361
Website:

Profile Details

NPI number 1215100425
LBN Legal business name Jordan Villegas, Alejandro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2008
Last updated Nov 18th, 2016 - about 8 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 1215100425 NPPES
Florida Other ME101267 MEDICAL LICENSE
Florida MEDICAID 003502400 MEDICAL LICENSE

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