JORDAN MICAH PHELPS

JACKSONVILLE, FL
NPI1861952376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS19877)
Enumeration Date2019-03-21
Last Update Date2023-05-30
Business Address
JORDAN MICAH PHELPS DO
14011 BEACH BLVD STE 120
JACKSONVILLE, FL 32250-1695
Phone number: 904-223-6400
Mailing Address
JORDAN MICAH PHELPS DO
705 WELLS RD STE 300
ORANGE PARK, FL 32073-2982
Phone number: 904-282-6331