VICTOR M MONTES JORDAN (NPI# 1225465461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225465461 |
| Entity Type | Individual |
| Full Name | VICTOR M MONTES JORDAN |
| Credential | M,D. |
| Practice Address |
710 Wickham Lakes Dr Viera FL 32940-2200 |
| Practice Telephone | 3214128822 |
| Mailing Telephone | 3214128822 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
6084 | PR | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
28450 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | LICENSE | 6084 | 01 |
| Street Address |
710 WICKHAM LAKES DR |
| City | VIERA |
| State | FL |
| Zip Code | 32940-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225598626 | Kidz Medical Services, Inc. | Pediatrics | 3100 Sw 62 Ave Suite 121-north East Wing, Miami, FL 33155-3009 | 2019-03-21 |
| 1417429986 | Natalie Gallegos | Pediatrics | 3100 Sw 62nd Ave # 122, Miami, FL 33155-3009 | 2018-12-21 |
| 1679978118 | Baptist Health Medical Group Oncology LLC | Pediatrics | 8940 N. Kendall Dr, Ste. 300e, Miami, FL 33176 | 2014-10-27 |
| 1801138144 | Taumoha Ghosh | Pediatrics | 1601 Nw 12th Ave Fl 5, Miami, FL 33136-1005 | 2013-03-25 |
| 1508112731 | Muaz Alabd Alrazzak | Pediatrics | 9980 Central Park Blvd., Suite 206, Boca Raton, FL 33428-1703 | 2012-07-25 |
| 1194080382 | Jorge Ricardo Galvez Silva | Pediatrics | 3100 Sw 62nd Ave Ste 121, Miami, FL 33155-3009 | 2012-07-12 |
| 1609025915 | Maggie C. Fader | Pediatrics | 3100 Sw 62 Ave (#212, N.e. Wing), Miami, FL 33155 | 2008-09-10 |
| 1679791370 | Guillermo Roberto De Angulo | Pediatrics | 3100 Sw 62nd Avenue, Ne Wing, Suite 121, Miami, FL 33155 | 2007-04-20 |
| 1417094707 | Kelly Sawczyn | Pediatrics | 9981 S. Healthpark Drive, Suite 156, Fort Myers, FL 33908-3618 | 2007-01-30 |
| 1518010164 | David Richard Shook | Pediatrics | 2501 N Orange Ave Ste 589, Orlando, FL 32804-4647 | 2007-01-18 |
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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.