Mastronardi, Jordan J

Mastronardi, Jordan J is an sole proprietor health care provider with primary practice located at 4800 W Hillsboro Blvd Ste A-11, Coconut Creek FL 33073-4371. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mastronardi, Jordan J can be contacted via phone (954) 481-2828.

Contact Information

Primary practice address
4800 W Hillsboro Blvd Ste A-11 Coconut Creek FL 33073-4371
Phone: (954) 481-2828
Fax: (954) 481-2830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH8918 Florida

Profile Details

NPI number 1902803885
LBN Legal business name Mastronardi, Jordan J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Apr 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902803885 NPPES
Florida MEDICAID 381972800

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