JUAN C YORDAN MD PA
NPI 1184094690
Clinic/Center - Primary Care in Lady Lake, FL

Q: What is Juan C Yordan MD PA's NPI number?

The NPI number for Juan C Yordan MD PA is 1184094690. It was assigned to this organization in the NPPES registry on September 28, 2015.

Q: What is Juan C Yordan MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since September 28, 2015CLIA 10D2111427 · Waiver

929 N US HIGHWAY 441 STE 102, LADY LAKE, FL 32159(352) 633-0473(352) 775-9562 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Nov 1, 2017, Sep 28, 2015 (3 updates tracked since 2015).

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About Juan C Yordan Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN C YORDAN MD PA (NPI 1184094690) is a healthcare organization registered as a primary care in Lady Lake, Florida and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through April 5, 2028, maintains a secondary practice location in Belleview, and lists Juan Carlos Yordan, Md, as its authorized official.

NPPES Registry Identity

NPI1184094690

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameJUAN C YORDAN MD PA

Location Address929 N US HIGHWAY 441 STE 102Lady Lake, FL 32159-3002

Mailing AddressPo Box 3667Belleview, FL 34421-3667 · (352) 633-0473 · Fax (352) 775-9562

Phone(352) 633-0473

Fax(352) 775-9562

Organization SubpartNo

Authorized OfficialJuan Carlos YordanMd · (352) 633-0473

Enumeration DateSeptember 28, 2015

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1184094690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in FL · ME98478

929 N US HIGHWAY 441 STE 102, Lady Lake, FL 32159

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Secondary Practice Location 1

Location 110261 SE 42nd TerBelleview, FL 34420-6851 · Phone (352) 446-6210

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2111427

Juan C Yordan MD PA · Lady Lake, FL

Active · expires Apr 5, 2028

CLIA Number10D2111427

Laboratory TypePhysician Office

Certificate Effective DateApril 6, 2026

Certificate Expiration DateApril 5, 2028

Laboratory DirectorJuan C. Yordan

Laboratory Phone(352) 633-0473

Laboratory LocationJuan C Yordan MD PA929 N Us Hwy 441 Ste 601, Lady Lake, FL 32159

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MENTAL HEALTH OF CENTRAL FLORIDA, LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

929 N US HIGHWAY 441 STE 102
LADY LAKE, FL 32159

Lake County (352) 633-0473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan C Yordan MD PA's NPI number?

The NPI number for Juan C Yordan MD PA is 1184094690. It was assigned to this organization in the NPPES registry on September 28, 2015.

Where is Juan C Yordan MD PA located?

Juan C Yordan MD PA is located at 929 N Us Highway 441 Ste 102, Lady Lake, FL 32159. The listed phone number is (352) 633-0473.

What is Juan C Yordan MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Juan C Yordan MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2111427) is associated with this NPI, valid through April 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Juan C Yordan MD PA was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.