Individual provider · Type 1 NPI

Eric A. Jordan, PA

Surgical Physician Assistant · Melbourne, FL

NPI number 1649609793 Active

Practice location

1350 Hickory St, Suite 102
Melbourne, FL 32901-3224

Fax (321) 434-3456

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9107646 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1649609793

Eric A. Jordan, PA's National Provider Identifier is 1649609793, issued on Nov 8, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Melbourne, FL. The record was last updated on Apr 9, 2019.