Michelle Lynne Jordan PA-C

NPI 1649440520 - Physician Assistant - 363AM0700X

NPI Details
NPI 1649440520
Gender Female
Enumeration Date 03/06/2008
Last Updated 03/06/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
8787 BRYAN DAIRY RD
SUITE 360
LARGO FL, 33777-1251, US
Phone (727) 393-4900
Fax
Business Location
8787 BRYAN DAIRY RD
SUITE 360
LARGO FL, 33777-1251, US
Phone (727) 393-4900
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Florida
License Number PA9104461
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According to our database, Ms. Michelle Lynne Jordan PA-C NPI is 1649440520, taxonomy code is 363AM0700X and license number is PA9104461, license state is located at Florida. Michelle Lynne Jordan PA-C physically located at 8787 Bryan Dairy Rd, Largo FL, 33777-1251. NPI Number Michelle Lynne Jordan PA-C has the Individual type.

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1649440520 NPI number is provided on an as is basis without warranty of any kind. 1649440520 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Lynne Jordan PA-C are for informational purposes only.