DIEGO LUCAS JORDAN

MIAMI, FL
NPI1255941985
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP11006788)
Enumeration Date2020-08-06
Last Update Date2020-08-06
Business Address
DIEGO LUCAS JORDAN APRN
13404 SW 153RD TER APT 2007
MIAMI, FL 33177-1005
Phone number: 786-210-2517
Mailing Address
DIEGO LUCAS JORDAN APRN
13404 SW 153RD TER APT 2007
MIAMI, FL 33177-1005
Phone number: 786-210-2517
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