NPI 1245404136
Joseph 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
- 1245404136
- Entity type
- Individual
- Sex (as registered)
- Male
- 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.