Mussary, Jordan

Mussary, Jordan is an individual health care provider with primary practice located at 9801 Glades Rd , Boca Raton FL 33434-3918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mussary, Jordan can be contacted via phone (561) 487-9912.

Contact Information

Primary practice address
9801 Glades Rd Boca Raton FL 33434-3918
Fax: (561) 487-5070
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME66777 Florida

Profile Details

NPI number 1962484477
LBN Legal business name Mussary, Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Nov 4th, 2011 - about 13 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 1962484477 NPPES
Florida MEDICAID 379352400

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