| Jordan Adam Conrad, PA-C | |
|
12880 Commodity Pl, Tampa, FL 33626-3101 | |
| (813) 343-5500 | |
| (866) 462-7445 |
| Full Name | Jordan Adam Conrad |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 12880 Commodity Pl, Tampa, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942557178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9107357 (Florida) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 002789 (Connecticut) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Adam Conrad, PA-C Po Box 21686, Tampa, FL 33622-1686 Ph: (813) 343-5500 | Jordan Adam Conrad, PA-C 12880 Commodity Pl, Tampa, FL 33626-3101 Ph: (813) 343-5500 |
Randi Marie Bustin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1502 E Fowler Ave, Tampa, FL 33612 Phone: 813-866-0950 Fax: 813-866-0929 | |
Mrs. Jennifer Rose Baker Koebert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4001 E Fletcher Ave Fl 6, Tampa, FL 33613 Phone: 813-396-0768 | |
Tracie L Patel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10740 Palm River Rd Ste 360, Tampa, FL 33619 Phone: 813-844-7585 Fax: 813-844-5877 | |
Mr. Anthony Bromagen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12880 Commodity Pl, Tampa, FL 33626 Phone: 813-343-5500 Fax: 813-343-5506 | |
Lauren N. Yates, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16646 North Dale Mabry Highway, Tampa, FL 33618 Phone: 813-908-5253 Fax: 813-355-5895 | |
Mr. Eddy Jose Lopez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4507 N Armenia Ave, Tampa, FL 33603 Phone: 813-876-4100 Fax: 813-876-4153 | |
Ms. Lisa Albero, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 |