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Douglas A Jordan JR., DPM
Foot & Ankle Surgery Podiatrist in Port Richey, Florida
NPI 1518945500

Douglas A Jordan JR. is a Foot & Ankle Surgery Podiatrist based in Port Richey, FL and is specialized in Foot & Ankle Surgery. Douglas A Jordan JR. practices in Port Richey, FL and has the professional credentials of DPM. The NPI Number for Douglas A Jordan JR. is 1518945500 and holds a License No. PO 2114 (Florida).

The current practice location address for Douglas A Jordan JR. is 11528 Us Highway 19, Port Richey, FL and can be reached out via phone at 727-868-2151 and via fax at 727-868-7379.

Location: 11528 Us Highway 19, Port Richey, FL, 34668-1442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518945500
Provider Name
Douglas A Jordan JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
11528 Us Highway 19, Port Richey, FL, 34668-1442
Phone Number
727-868-2151
Fax Number
727-868-7379
Provider Enumeration Date
01/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102751 01 FL AVMED
10593101 01 FL CITRUS GCMCI
480018908 01 FL RAILROAD MEDICARE
65211 01 FL BLUE CROSS BLUE SHIELD FLORIDA
985373 01 FL UNITED HEALTH CARE
01352 01 FL UNIVERSAL HEALTH CARE
10593102 01 FL CITRUS GCMCII
057053200 05 FL
6200309 01 FL GHI
institution
Provider Business Practice Location Address Details
Address
11528 Us Highway 19
City
Port Richey
State
Florida
Zip
34668-1442
Phone Number
727-868-2151
Fax Number
727-868-7379
person
Provider Business Mailing Address Details
Address
11528 Us Highway 19
City
Port Richey
State
Florida
Zip
34668-1442
Phone Number
727-868-2151
Fax Number
727-868-7379
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
PO 2114 (Florida)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO 2114 (Florida)
Definition
Definition to come...
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