Jordan Desruisseaux, PA-C

NPI 1649537143 · on the registry since 2012

Practice

Address: 809 E Marion Ave
Punta Gorda, FL 33950
Phone: (941) 639-3131
Fax: (941) 637-2579
Organisation at this address: Lomba Md Pa
Punta Gorda Hma Llc
Punta Gorda Hma Llc
Triad Radiology Llc
Punta Gorda Hma Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-01-28

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