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Search › Florida › 156FX1800X

Michael Jordan, LDO

NPI 1063104982 · on the registry since 2023 · sole proprietor

Practice

Address
1580 Branan Field Rd
Middleburg, FL 32068
Phone
(904) 214-9102
Fax
(904) 214-9054
Organisation at this address
Wh Fl Dental Pllc
Wh Fl Optometry Pllc
Ellington Eyecare Pllc
Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida