Provider Demographics
NPI:1881919785
Name:LUSKIN, JORDAN ROSS (MD, MS)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:ROSS
Last Name:LUSKIN
Suffix:
Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:1411 N FLAGLER DR STE 3800
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3426
Mailing Address - Country:US
Mailing Address - Phone:561-291-7182
Mailing Address - Fax:561-437-2755
Practice Address - Street 1:1411 N FLAGLER DR STE 3800
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3426
Practice Address - Country:US
Practice Address - Phone:561-291-7182
Practice Address - Fax:561-437-2755
Is Sole Proprietor?:No
Enumeration Date:2010-04-02
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0054978208800000X
FLME147488208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology