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NPI Code Detail

MEDICARE: JORDAN RINDNER PA-C

MEDICARE: JORDAN RINDNER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA9120787FL

General Provider Information

NPI Number : 1710877725
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN RINDNER PA-C
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number :
Provider Business Practice Location Address
First Line : 22395 EDGEWATER DR
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33980-2012
Country : US
Telephone Number : 941-766-7222
Fax Number : 941-766-0970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2025
Last Update Date : 05/22/2026

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Directions to “ JORDAN RINDNER PA-C” Practice Location

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