Jordan Ditchek is a Body Imaging in Hollywood, Florida. Jordan Ditchek practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Jordan Ditchek is 1063415248. The last update date is 2021-12-16.
Jordan Ditchek's current location address is 3501 Johnson St, Hollywood, Florida. You can contact this provider via phone number 9549872000 and fax number 9544376628. The mailing address for Jordan Ditchek is 3501 Johnson St, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan Ditchek |
|---|---|
| Address | 3501 Johnson St, Hollywood, Florida |
| Phone Number | 9549872000 |
| Fax Number | 9544376628 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063415248 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2021-12-16 |
Provider Mailing Address Detail
| Address | 3501 Johnson St |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 3302154210 |
| Phone Number | 9549872000 |
| Fax Number | 9544376628 |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
| Licence No | ME81781 |
|
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5109 | FL | BLUE CROSS BLUE SHIELD | |
| 261786200 | FL | -- |
Post Comment/ Review Below
Could you share the physical location details of Jordan Ditchek?
The Jordan Ditchek is situated at 3501 Johnson St, in the city of Hollywood, state of FL, with the zip code 3302154210.
Could you please share the complete physical address where Jordan Ditchek is geographically located?
The Jordan Ditchek is physically situated at the following location: 3501 Johnson St, Hollywood, FL, 3302154210.
What is Jordan Ditchek's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jordan Ditchek is Body Imaging, and the taxonomy code that classifies this field of practice is 2085B0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063415248 to Jordan Ditchek?
The Centers for Medicare & Medicaid Services originally issued the 1063415248 to Jordan Ditchek on 2005-05-23.
When was the information regarding Jordan Ditchek, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jordan Ditchek, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-16.