| Organization Name: | JUAN C YORDAN MD PA |
| NPI Number: | 1184094690 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUAN C YORDAN (OWNER) |
| Mailing Address: | 10261 Se 42nd Ter Belleview |
| State: | FL US |
| Postal Code: | 344206851 |
| Phone Number: | 3524466210 |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2015 |
| NPI Last Update Date: | 09/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | ME98478 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |