Male or Other

Mr. Jordan B. Hurtado

Counselor in Longwood, FL(View on Map)

Full Name

Mr. Jordan Bryan Hurtado

NPI Number

1366105843

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/20/2021

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

111 W MAGNOLIA AVE
111 W MAGNOLIA AVE

City

Longwood
Longwood

State

FL
FL

Postal Code

32750-4130
32750-4130

Country

US
US

Telephone Number

(407) 215-0095
(407) 215-0095

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/23/2022

Provider Address

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