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Jordan James Casola, DO
Student in an Organized Health Care Education/Training Program in Sebring, Florida
NPI 1366132102

Jordan James Casola is a Student in an Organized Health Care Education/Training Program based in Sebring, FL. Jordan James Casola practices in Sebring, FL and has the professional credentials of DO. The NPI Number for Jordan James Casola is 1366132102 and holds a License No. 8873 (Florida).

The current practice location address for Jordan James Casola is 4325 Sun N Lake Blvd, Sebring, FL and can be reached out via phone at 863-402-3763.

Location: 4325 Sun N Lake Blvd, Sebring, FL, 33872-2171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366132102
Provider Name
Jordan James Casola
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4325 Sun N Lake Blvd, Sebring, FL, 33872-2171
Phone Number
863-402-3763
Fax Number
Provider Enumeration Date
05/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4325 Sun N Lake Blvd
City
Sebring
State
Florida
Zip
33872-2171
Phone Number
863-402-3763
Fax Number
person
Provider Business Mailing Address Details
Address
4325 Sun N Lake Blvd
City
Sebring
State
Florida
Zip
33872-2171
Phone Number
863-402-3763
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
8873 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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