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NPI Code Detail

MEDICARE: DIANA JORDI

MEDICARE:   DIANA  JORDI
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
1163W00000XRegistered NurseRN 9426629FL

General Provider Information

NPI Number : 1629424841
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA JORDI
Provider Business Mailing Address
First Line : 31044 WRENCREST DR
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-7889
Country : US
Telephone Number : 813-990-9672
Fax Number :
Provider Business Practice Location Address
First Line : 31044 WRENCREST DR
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-7889
Country : US
Telephone Number : 813-990-9672
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2016
Last Update Date : 05/06/2016

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Directions to “ DIANA JORDI ” Practice Location

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