Jacob Jordan is a Surgery in Fort Myers, Florida. Jacob Jordan practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jacob Jordan is 1417048554. The last update date is 2017-04-06.
Jacob Jordan's current location address is 2234 Colonial Blvd., Fort Myers, Florida. You can contact this provider via phone number 2399317342 and fax number 2399317385. The mailing address for Jacob Jordan is 2234 Colonial Blvd., Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jacob Jordan |
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Address | 2234 Colonial Blvd., Fort Myers, Florida |
Phone Number | 2399317342 |
Fax Number | 2399317385 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1417048554 |
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Provider Enumeration Date | 2006-09-27 |
Last Updated Date | 2017-04-06 |
Provider Mailing Address Detail
Address | 2234 Colonial Blvd. |
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City | Fort Myers |
State | Florida (FL) |
Post Code | 33907 |
Phone Number | 2399317342 |
Fax Number | 2399317385 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | ME0047319 |
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
P00877422 | FL | RR MEDICARE | |
P305081 | FL | FREEDOM | |
8461 | FL | BCBS | |
201912 | FL | WELLCARE | |
5954082 | FL | AETNA | |
57907600 | FL | -- | |
292168 | FL | AVMED | |
QMP000005106623 | FL | MOLINA | |
P953733 | FL | OPTIMUM |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jacob Jordan by the Centers for Medicare & Medicaid Services?
The Jacob Jordan has been assigned the NPI (National Provider Identifier) 1417048554 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jacob Jordan's facilities are geographically located?
The facilities of Jacob Jordan are physically situated at the following location: 2234 Colonial Blvd., Fort Myers, FL, 33907.
What is Jacob Jordan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacob Jordan is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.
When did the Jacob Jordan receive its 1417048554?
The Jacob Jordan was issued its 1417048554 on 2006-09-27, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Jacob Jordan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jacob Jordan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-04-06.
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