Jessica Jordan Od LLC

NPI #1073269577 in Port Orange, Florida

Provider Information

NPI Number: 1073269577
Entity Type: Organization
Organization Name: Jessica Jordan Od LLC
Primary Specialty: Optometrist
Enumeration Date: Feb 23, 2022
Last Updated: Feb 23, 2022

Practice Location

Address: 1771 DUNLAWTON AVE
City: Port Orange
State: Florida
ZIP Code: 32127-4757
Phone: (386) 304-7360

Authorized Official

Name: DR. JESSICA M JORDAN, OD
Title: OPTOMETIRST
Phone: (808) 286-5529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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