SHANE JORDAN

LAKELAND, FL
NPI1104145606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS45173)
Enumeration Date2010-05-24
Last Update Date2010-05-24
Business Address
Dr. SHANE JORDAN
4445 US HIGHWAY 98 N
LAKELAND, FL 33809-0402
Phone number: 863-815-2343
Mailing Address
Dr. SHANE JORDAN
1834 GREY FOX DR
LAKELAND, FL 33810-2069
Phone number: