Jordania, Nina T

Jordania, Nina T is an individual health care provider with primary practice located at 6801 Porto Fino Cir Ste 1, Fort Myers FL 33912-4344. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Jordania, Nina T can be contacted via phone (239) 225-0874.

Contact Information

Primary practice address
6801 Porto Fino Cir Ste 1 Fort Myers FL 33912-4344
Phone: (239) 225-0874
Fax: (239) 225-1465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036107234 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME126750 Florida

Profile Details

NPI number 1164428074
LBN Legal business name Jordania, Nina T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Mar 20th, 2017 - 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 1164428074 NPPES
Illinois Other 036107234 STATE LICENSE
Illinois MEDICAID 036107234 STATE LICENSE
Illinois Other 1033149844 STATE LICENSE
Illinois Other P00924097 STATE LICENSE
Illinois Other 0222075 STATE LICENSE
Illinois Other CA4748 STATE LICENSE

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