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STEVEN JORDAN

Optician >> Technician/Technologist >> Eye and Vision Services Providers

Registrant NPI Number: 1538438619

Individual Registrant:
 STEVEN  JORDAN 
Gender: M
Sole Proprietor

Location and contact information for practice:
235 COMMERCIAL BLVD  LAUDERDALE BY THE SEA, FL 33308-4452 US
Tel: 954-491-5818  Fax: 954-491-5819

Contact information for business:
235 COMMERCIAL BLVD  LAUDERDALE BY THE SEA, FL 33308-4452 US
Tel: 954-491-5818  Fax: 954-491-5819

Registration Information:
NPI: 1538438619
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y156FX1800XEye and Vision Services Providers
Technician/Technologist
Optician
FLDO3073

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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