MR. JORDAN J AUGUSTIN


Address: 4200 Sw 54th Ct, Fort Lauderdale, FL 33314-6726
Phone: 7543125500

MR. JORDAN J AUGUSTIN (NPI# 1104336387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104336387
Entity Type Individual
Full Name MR. JORDAN J AUGUSTIN
Credential ARNP
Practice Address 4200 Sw 54th Ct
Fort Lauderdale
FL 33314-6726
Mailing Address 17385 Nw 7th Ave Apt 101
Miami Gardens
FL 33169-7090
Practice Telephone 7543125500
Mailing Telephone 9544613172
Enumeration Date 2017-10-02
Last Update Date 2017-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
ARNP9351187 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4200 SW 54TH CT
City FORT LAUDERDALE
State FL
Zip Code 33314-6726

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City FORT LAUDERDALE
Zip Code 33314

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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