JUAN C YORDAN MD PA (NPI# 1184094690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184094690 |
| Entity Type | Organization |
| Organization Name | JUAN C YORDAN MD PA |
| Practice Address |
929 N Us Highway 441 Ste 102 Lady Lake FL 32159-3002 |
| Mailing Address |
Po Box 3667 Belleview FL 34421-3667 |
| Practice Telephone | 3526330473 |
| Practice Fax Number | 3527759562 |
| Mailing Telephone | 3526330473 |
| Mailing Fax Number | 3527759562 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | JUAN CARLOS YORDAN (MD) |
| Authorized Official Telephone | 3526330473 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME98478 | FL | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10261 Se 42nd Ter, Belleview, FL 344206851 | 3524466210 |
| Street Address |
929 N US HIGHWAY 441 STE 102 |
| City | LADY LAKE |
| State | FL |
| Zip Code | 32159-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221865 | Mental Health of Central Florida, LLC | Clinic/Center | 929 N Us Highway 441 Ste 102, Lady Lake, FL 32159-3002 | 2018-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740618693 | My Wellness 4 U | Clinic/Center | 39204 Tacoma Dr, Lady Lake, FL 32159-6006 | 2013-10-30 |
| 1881831576 | Desai Medical Center for Primary Care and Integrative Medicine Pa | Clinic/Center | 773 County Road 466, The Summit of Lady Lake, Lady Lake, FL 32159-6340 | 2009-01-16 |
| 1952844961 | Allen T. Schwartz Md, LLC | Clinic/Center | 785 Highway 466, Lady Lake, FL 32159 | 2016-11-22 |
| 1700336914 | Fursankim Group LLC | Clinic/Center | 13940 N Us Highway 441, Oakland Hill Professional Center, Ste 905, Lady Lake, FL 32159-8908 | 2016-10-12 |
| 1083045918 | Vqol Primary Care Physician | Clinic/Center | 8550 Ne 138th Ln Ste 102, Lady Lake, FL 32159-6816 | 2013-12-03 |
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| Find all providers with the same taxonomy | ||||
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| 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.