JORDAN JAMES CASOLA DO
NPI 1366132102
Student in an Organized Health Care Education/Training Program in Sebring, FL

Active since May 12, 2023PECOS Enrolled
4325 SUN N LAKE BLVD, SEBRING, FL 33872(863) 402-3763 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan James Casola Do NPPES

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

JORDAN JAMES CASOLA DO (NPI 1366132102) is an individual student in an organized health care education/training program in Sebring, Florida, licensed in Florida (8873) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366132102
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN JAMES CASOLACredential: DO
Location Address4325 SUN N LAKE BLVDSebring, FL 33872-2171
Mailing Address4325 Sun N Lake Blvd Ste 105Sebring, FL 33872-2171 · (863) 402-3763
Sole ProprietorYes
Enumeration DateMay 12, 2023
NPPES CertifiedMay 12, 2023
NPI 1366132102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in FL · 8873
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4325 SUN N LAKE BLVD, Sebring, FL 33872

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jordan James Casola Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

Student in an Organized Health Care Education/Training Program
4325 SUN N LAKE BLVD, SUITE 105
SEBRING, FL 33872
Otolaryngology
4325 SUN N LAKE BLVD, SUITE 103
SEBRING, FL 33872
Otolaryngology
4325 SUN N LAKE BLVD, SUITE 102
SEBRING, FL 33872
Psychiatry & Neurology (Neurology)
4325 SUN N LAKE BLVD, SUITE 104
SEBRING, FL 33872
Occupational Therapist
4325 SUN N LAKE BLVD
SEBRING, FL 33872
Clinical Medical Laboratory
4325 SUN N LAKE BLVD, SUITE 105
SEBRING, FL 33872
Internal Medicine (Pulmonary Disease)
4325 SUN N LAKE BLVD, STE 102
SEBRING, FL 33872
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4325 SUN N LAKE BLVD
SEBRING, FL 33872

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 Jordan Casola's NPI number?

The NPI number for Jordan Casola is 1366132102. It was assigned to this individual provider in the NPPES registry on May 12, 2023.

Where is Jordan Casola located?

Jordan Casola practices at 4325 Sun N Lake Blvd, Sebring, FL 33872. The listed phone number is (863) 402-3763.

What is Jordan Casola's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Casola enrolled in Medicare?

Yes. Jordan Casola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Casola was last updated on May 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.