Provider Demographics
NPI:1851686703
Name:CORDING, JEFFREY (RRT)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:
Last Name:CORDING
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2581 JUPITER PARK DR
Mailing Address - Street 2:E26
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6005
Mailing Address - Country:US
Mailing Address - Phone:561-354-9022
Mailing Address - Fax:
Practice Address - Street 1:2581 JUPITER PARK DR
Practice Address - Street 2:E26
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6005
Practice Address - Country:US
Practice Address - Phone:561-354-9022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT3854227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered