Yordan, Juan Carlos

Yordan, Juan Carlos is an individual health care provider with primary practice located at 1503 Buenos Aires Blvd Suite 110, The Villages FL 32159-6821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yordan, Juan Carlos can be contacted via phone (352) 205-4302.

Contact Information

Primary practice address
1503 Buenos Aires Blvd Suite 110 The Villages FL 32159-6821
Phone: (352) 205-4302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101234721 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME98478 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12427 Puerto Rico

Profile Details

NPI number 1366410268
LBN Legal business name Yordan, Juan Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated May 17th, 2013 - about 11 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 1366410268 NPPES
Florida Other 02348 BCBS
Florida MEDICAID 278773300 BCBS

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