Individual provider · Type 1 NPI
Jordan Lupo Heath, MD
Allergy Physician · Gainesville, FL
NPI number
1114360930
Active
Practice location
4343 Newberry Rd Ste 1
Gainesville, FL 32607-2822
Fax (352) 331-3488
Mailing address
4881 NW 8th Ave., Suite 2
Gainesville, FL 32605-4582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | ME149410 (FL) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
About NPI 1114360930
Jordan Lupo Heath, MD's National Provider Identifier is 1114360930, issued on Apr 10, 2013. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Gainesville, FL. The record was last updated on Sep 1, 2021.