Healthcare Provider Details

I. General information

NPI: 1851670897
Provider Name (Legal Business Name): JORDAN TURK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2964 N STATE ROAD 7 STE 110
MARGATE FL
33063-5715
US

IV. Provider business mailing address

2964 N STATE ROAD 7 STE 110
MARGATE FL
33063-5715
US

V. Phone/Fax

Practice location:
  • Phone: 954-975-3102
  • Fax: 954-973-1882
Mailing address:
  • Phone: 954-975-3102
  • Fax: 954-973-1882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME130532
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: