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1861952376
JORDAN MICAH PHELPS
JACKSONVILLE, FL
NPI
1861952376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS19877)
Enumeration Date
2019-03-21
Last Update Date
2023-05-30
Business Address
JORDAN MICAH PHELPS DO
14011 BEACH BLVD STE 120
JACKSONVILLE, FL 32250-1695
Phone number: 904-223-6400
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Mailing Address
JORDAN MICAH PHELPS DO
705 WELLS RD STE 300
ORANGE PARK, FL 32073-2982
Phone number: 904-282-6331
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