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NPI Code Detail

MEDICARE: MR. CHARLES WESLEY JONES PA

MEDICARE: MR. CHARLES WESLEY JONES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA9106981FL
2363A00000XPhysician AssistantPA9106981FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HM432YOTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053322461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHARLES WESLEY JONES PA
Provider Business Mailing Address
First Line : 258 S CHICKASAW TRL STE 203
Second Line :
City : ORLANDO
State : FL
Zip : 32825-3558
Country : US
Telephone Number : 407-303-6588
Fax Number : 407-303-6592
Provider Business Practice Location Address
First Line : 258 S CHICKASAW TRL STE 203
Second Line :
City : ORLANDO
State : FL
Zip : 32825-3558
Country : US
Telephone Number : 407-303-6588
Fax Number : 407-303-6592
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 04/13/2023

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Directions to “ MR. CHARLES WESLEY JONES PA” Practice Location

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