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Walter Jordan
NPI 1447733712 · on the registry since 2018 · sole proprietor
Practice
- Address
- 600 40th St N Apt 111
St Petersburg, FL 33713 - Phone
- (727) 657-8392
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Home Health Agency
251E00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-12
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