Taylor R Jordan, | |
17890 Boyette Rd, Lithia, FL 33547-1930 | |
(813) 309-6702 | |
Not Available |
Full Name | Taylor R Jordan |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 17890 Boyette Rd, Lithia, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649035197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 9511630 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN11040200 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Taylor R Jordan, 17890 Boyette Rd, Lithia, FL 33547-1930 Ph: (813) 309-6702 | Taylor R Jordan, 17890 Boyette Rd, Lithia, FL 33547-1930 Ph: (813) 309-6702 |
Mrs. Cynthia L Odom-brown, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5955 Jaegerglen Dr, Suite 1, Lithia, FL 33547 Phone: 813-315-9258 | |
Mr. Bradley Kenneth Heffelfinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18716 Holly Pine Trl, Lithia, FL 33547 Phone: 815-383-0537 |