Jordan Lupo Heath, M.D.
Allergy & Immunology, Allergy in Gainesville, FL. Individual provider (NPI-1).
NPI number1114360930
StatusActive
Last updated in NPPESSep 1, 2021
Details
- NPI
- 1114360930
- Entity type
- Individual (NPI-1)
- Name
- Jordan Lupo Heath
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2013
- Certification date
- Sep 1, 2021
- Last updated
- Sep 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207KA0200X | Allergy & Immunology, Allergy | ME149410 | FL | Yes |
Other names
- Jordan Elizabeth Lupo (Former Name)
Practice location
4343 Newberry Rd Ste 1Gainesville, FL 32607-2822
Phone 352-331-3502 · Fax 352-331-3488
Mailing address
4881 Nw 8th Ave.Suite 2
Gainesville, FL 32605-4582
Phone 352-416-1082 · Fax 352-373-6144
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