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Search › Florida › 363LF0000X

Sandra Jordan

NPI 1487151452 · on the registry since 2018 · sole proprietor

Practice

Address
12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258
Phone
(214) 216-6320
Organisation at this address
Camelia Kelly
Ganim Md Pllc
Smiley Berry Llc
Paragon Wound Care
1st Choice Venicare
Inferred from a shared address, not stated in the registry.
Clinicians at this address
200

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363L00000X
363LP2300X
363LP2300X
363LP2300X
363LP2300X
363LP2300X
363LP2300X
Licence states on file
TX, NV, AZ, NM, KS, NY, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-26

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