Jordan Fabrikant, D.O., P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JORDAN FABRIKANT, D.O., P.A.

Practice address

6140 SW 70TH St
Second Floor
South Miami, FL 33143-3419

Phone

(305) 284-7577

Fax

(305) 675-3714

NPI assigned

Jan 28, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jordan S Fabrikant, D.O

Title

President

Phone

(305) 284-7742

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1265822340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 SW 70TH ST",
            "address_2": "SECOND FLOOR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433419",
            "telephone_number": "305-284-7577",
            "fax_number": "305-675-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 SW 70TH ST",
            "address_2": "SECOND FLOOR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433419",
            "telephone_number": "305-284-7577",
            "fax_number": "305-675-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN FABRIKANT, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "FABRIKANT",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-284-7742",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Esme Johnson, MT-BC
• Linda Julia Johnson, ARNP
• Yvonne Johnson, M.D.
• Kareem Jones, MD
• Stephanie Jones, PA-C
• Kristen Nicole Jordan, ARNP
• Maureen O Jordan, MD
• Jorge Benito MD PA
• Jorge E. Lievano, M.D., P.a.
• Patricia Jorge Fornes, DMD

• Dermatology Physician in South Miami, FL
• Providers in South Miami, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.