person
Eric A Jordan, PA
Surgical Physician Assistant in Melbourne, Florida
NPI 1649609793

Eric A Jordan is a Surgical Physician Assistant based in Rockledge, FL and is specialized in Surgical. Eric A Jordan practices in Melbourne, FL and has the professional credentials of PA. The NPI Number for Eric A Jordan is 1649609793 and holds a License No. PA9107646 (Florida).

The current practice location address for Eric A Jordan is 1350 Hickory St, Melbourne, FL and can be reached out via phone at 321-434-3455 and via fax at 321-434-3456. You can also correspond with Eric A Jordan through the mailing address at 3300 S FISKE BLVD, ROCKLEDGE, FL - 32955-4306 (mailing address contact number: 321-434-3455).

Location: 1350 Hickory St, Melbourne, FL, 32955-4306
person
Provider Profile Details
NPI Number
1649609793
Provider Name
Eric A Jordan
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1350 Hickory St, Melbourne, FL, 32955-4306
Phone Number
321-434-3455
Fax Number
321-434-3456
Provider Enumeration Date
11/08/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010029600 05 FL
HP736Y 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
1350 Hickory St
City
State
Zip
32901-3224
Phone Number
321-434-3455
Fax Number
321-434-3456
person
Provider Business Mailing Address Details
Address
1350 Hickory St
City
State
Zip
32901-3224
Phone Number
321-434-3455
Fax Number
321-434-3456
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9107646 (Florida)
Definition
Definition to come...
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