Individual provider · NPI-1

Dr. Jordan Farr, D.O.

Emergency Medicine · Orange Park, FL

NPI number1376985358
StatusActive
Last updated in NPPESOct 26, 2018

Details

NPI
1376985358
Entity type
Individual (NPI-1)
Name
Dr. Jordan Farr
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 19, 2013
Last updated
Oct 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineOS15015FLYes

Practice location

2001 Kingsley Ave
Orange Park, FL 32073-5148

Phone 904-639-8500

Mailing address

2001 Kingsley Ave
Orange Park, FL 32073-5156

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