NPI 1174797054
Michele Jordan
Practice location
- Address
- 206 Hollywood CT N, Kissimmee, FL 34743-7846
- Phone
- (407) 348-5030
- Fax
- (407) 348-5030
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1174797054
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Apr 2008
- Record last updated
- 22 Apr 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.