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
Phone: (407) 481-7360
Fax: (407) 481-7361
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | ME101267 | Florida |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215100425 | NPPES |
Florida | Other | ME101267 | MEDICAL LICENSE |
Florida | MEDICAID | 003502400 | MEDICAL LICENSE |
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