Charles J Jordan MD

NPI 1114122249 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1114122249
Gender Male
Enumeration Date 06/19/2007
Last Updated 10/18/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
15955 SW 96TH ST
SUITE 401
MIAMI FL, 33196-1271, US
Phone (786) 467-3430
Fax (786) 533-9695
Business Location
15955 SW 96TH ST
SUITE 401
MIAMI FL, 33196-1271, US
Phone (786) 467-3430
Fax (786) 533-9695
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Charles J Jordan MD NPI is 1114122249, taxonomy code is 390200000X Charles J Jordan MD physically located at 15955 Sw 96th St, Miami FL, 33196-1271. NPI Number Charles J Jordan MD has the Individual type.

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1114122249 NPI number is provided on an as is basis without warranty of any kind. 1114122249 is maintained by the National Plan & Provider Enumeration System. The contents of Charles J Jordan MD are for informational purposes only.