| 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  |