Jordan Scott Vallieres, | |
755 Rinehart Rd Ste 100, Lake Mary, FL 32746-4885 | |
(407) 320-8100 | |
Not Available |
Full Name | Jordan Scott Vallieres |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 755 Rinehart Rd Ste 100, Lake Mary, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144708058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP9397033 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Siloam Springs Regional Hospital | Siloam springs, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Community Clinics Pa | 2567361165 | 21 |
Entity Name | Integrated Community Clinics Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760440226 PECOS PAC ID: 2567361165 Enrollment ID: O20040102000477 |
Mailing Address | Practice Location Address |
---|---|
Jordan Scott Vallieres, 755 Rinehart Rd Ste 100, Lake Mary, FL 32746-4885 Ph: (407) 320-8100 | Jordan Scott Vallieres, 755 Rinehart Rd Ste 100, Lake Mary, FL 32746-4885 Ph: (407) 320-8100 |
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