Individual provider · Type 1 NPI

Jordan James Casola, DO

Student in an Organized Health Care Education/Training Program · Sebring, FL

NPI number 1366132102 Active

Practice location

4325 Sun N Lake Blvd
Sebring, FL 33872-2171

Call (863) 402-3763 Map

Mailing address

4325 Sun N Lake Blvd Ste 105
Sebring, FL 33872-2171

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X8873 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366132102

Jordan James Casola, DO's National Provider Identifier is 1366132102, issued on May 12, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sebring, FL. The record was last updated on May 12, 2023.