Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Botknecht

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1598604035

Jordan Botknecht is a Student in an Organized Health Care Education/Training Program in Pembroke Pines, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone: (954) 962-9650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1598604035
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address703 N Flamingo Rd, Pembroke Pines, FL 33028-1006

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