Loftis, Jordan L
Loftis, Jordan L is an individual health care provider with primary practice located at 2400 N Courtenay Pkwy Ste 100 , Merritt Island FL 32953-4127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Loftis, Jordan L can be contacted via phone (321) 985-9097.Contact Information
Primary practice address
2400 N Courtenay Pkwy Ste 100
Merritt Island FL 32953-4127
Phone: (321) 985-9097
Fax: (321) 301-4869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 48796 | Colorado |
Profile Details
| NPI number | 1477711760 |
|---|---|
| LBN Legal business name | Loftis, Jordan L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2008 |
| Last updated | May 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477711760 | NPPES |
| Colorado | Other | 1477711760 | NPI |
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