Organization · Type 2 NPI
Juan C Yordan MD PA
Primary Care Clinic/Center · Lady Lake, FL
NPI number
1184094690
Active
Practice location
929 N US Highway 441 Ste 102
Lady Lake, FL 32159-3002
Fax (352) 775-9562
Mailing address
PO Box 3667
Belleview, FL 34421-3667
Other practice locations
- 10261 SE 42nd Ter, Belleview, FL 34420-6851 · (352) 446-6210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | ME98478 (FL) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1184094690
Juan C Yordan MD PA's National Provider Identifier is 1184094690, issued on Sep 28, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lady Lake, FL. The record was last updated on Mar 17, 2018.