Samantha L Jordan (NPI# 1407311533, PAC ID# 4385987585) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1407311533 |
| PAC ID by PECOS | 4385987585 |
| Professional Enrollment ID | I20190509001835 |
| Full Name | Samantha L Jordan |
| Organization Legal Name | NEW SMYRNA BEACH CHIROPRACTIC CLINIC PLC |
| Address |
1205 N Dixie Fwy New Smyrna Beach FL 32168-6005 |
| Phone Number | 3864235259 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8729173604 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1205 N Dixie Fwy, New Smyrna Beach, FL 32168-6005 | 3864235259 | NEW SMYRNA BEACH CHIROPRACTIC CLINIC PLC |
| Organization Legal Name | NEW SMYRNA BEACH CHIROPRACTIC CLINIC PLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Prokop | Chiropractic | New Smyrna Beach Chiropractic Clinic Plc | 1205 N Dixie Fwy, New Smyrna Beach, FL 32168-6005 |
| Karla Greene | Chiropractic | New Smyrna Beach Chiropractic Clinic Plc | 1205 N Dixie Fwy, New Smyrna Beach, FL 32168-6005 |
| Lilly S Gors | Chiropractic | New Smyrna Beach Chiropractic Clinic Plc | 1205 N Dixie Fwy, New Smyrna Beach, FL 32168-6005 |
| Street Address |
1205 N DIXIE FWY |
| City | NEW SMYRNA BEACH |
| State | FL |
| Zip | 32168-6005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Prokop | Chiropractic | New Smyrna Beach Chiropractic Clinic Plc | 1205 N Dixie Fwy, New Smyrna Beach, FL 32168-6005 |
| Karla Greene | Chiropractic | New Smyrna Beach Chiropractic Clinic Plc | 1205 N Dixie Fwy, New Smyrna Beach, FL 32168-6005 |
| Lilly S Gors | Chiropractic | New Smyrna Beach Chiropractic Clinic Plc | 1205 N Dixie Fwy, New Smyrna Beach, FL 32168-6005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cloressa Marie Dizney | Nurse Practitioner | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Rebecca H Mangali | Physician Assistant | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Marc B Hull | Physician Assistant | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Jeremy M Wright | Physician Assistant | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| John S Bohannon | Emergency Medicine | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Cynthia S Mohney | Physician Assistant | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Samuel M. Rosati | Family Medicine | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Angela L Ricci | Physician Assistant | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Tracy A Ruth | Nurse Practitioner | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Erin C Sloan | Physician Assistant | New Smyrna Beach Urgent Care, LLC | 1860 Renzulli Rd, New Smyrna Beach, FL 32168-1726 |
| Find all physicians in zip 32168 | |||
| City | NEW SMYRNA BEACH |
| Zip Code | 32168 |
| Specialty | CHIROPRACTIC |
| City + Specialty | NEW SMYRNA BEACH + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.