Montes Jordan, Victor M

Montes Jordan, Victor M is an sole proprietor health care provider with primary practice located at 710 Wickham Lakes Dr , Viera FL 32940-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Montes Jordan, Victor M can be contacted via phone (321) 412-8822.

Contact Information

Primary practice address
710 Wickham Lakes Dr Viera FL 32940-2200
Phone: (321) 412-8822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 28450 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 6084 Puerto Rico

Profile Details

NPI number 1225465461
LBN Legal business name Montes Jordan, Victor M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2013
Last updated Oct 28th, 2020 - about 5 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 1225465461 NPPES
Puerto Rico Other 6084 LICENSE

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