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NPI Code Detail

MEDICARE: JORDAN VAN LEUVEN

MEDICARE:   JORDAN  VAN LEUVEN
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
1225X00000XOccupational TherapistOT21550FL

General Provider Information

NPI Number : 1215817424
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN VAN LEUVEN
Provider Business Mailing Address
First Line : 1133 SCHOONER PL APT A
Second Line :
City : SANIBEL
State : FL
Zip : 33957-5006
Country : US
Telephone Number : 727-631-7223
Fax Number :
Provider Business Practice Location Address
First Line : 13921 SHELL POINT PLZ
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-2830
Country : US
Telephone Number : 239-441-2054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2025
Last Update Date : 09/08/2025

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Directions to “ JORDAN VAN LEUVEN ” Practice Location

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