JUAN C YORDAN MD PA NPI 1184094690

NPI Information

  • NPI: 1184094690
  • Provider Name: JUAN C YORDAN MD PA
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 10D2111427
  • Address: 929 N US HIGHWAY 441 STE 102
    LADY LAKE, FL
    ZIP 32159
  • Phone: (352) 633-0473

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NPI Details

JUAN C YORDAN MD PA is a primary care clinic center in Lady Lake, FL. JUAN C YORDAN MD PA NPI is 1184094690. The provider is registered as an organization entity type.

The provider's business location address is:

929 N US HIGHWAY 441 STE 102
LADY LAKE, FL
ZIP 32159-002
Phone: (352) 633-0473
Fax: (352) 775-9562

The provider's authorized official is Juan Carlos Yordan .
The authorized official title is Md and has the following contact phone number (352) 633-0473.

The CLIA number assigned to this NPI record is 10D2111427 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2015 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareME98478FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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