SearchFloridaMOHS-Micrographic Surgery Physician

Jordan Fabrikant, D.O

NPI 1649585753 · on the registry since 2010 · sole proprietor

Practice

Address
921 Town Center Dr
Orange City, FL 32763
Phone
(386) 218-1180
Fax
(386) 218-0950
Organisation at this address
Legacy Pharmacy Oc Llc
Legacy Pharmacy Oc Llc
Deltona Medical Arts Pharmacy Inc
Select Physical Therapy Holdings, Inc.
At United Angels Nurse Registry - Volusia Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Additional practice sites

  • 7605 Conroy Windermere Rd, Orlando, FL
  • 340 Town Plaza Ave Ste 210, Ponte Vedra, FL

Registry record

Primary taxonomy
MOHS-Micrographic Surgery Physician
207ND0101X
Also registered as
Dermatology Physician
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-18

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