MEDICARE: HAKEEM YUSEF JONES

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
1	343900000X	Non-emergency Medical Transport (VAN)
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1457972846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAKEEM YUSEF JONES

Provider Business Mailing Address
First Line	:	301 W PLATT ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2292
Country	:	US
Telephone Number	:	813-619-6493
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 W PLATT ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2292
Country	:	US
Telephone Number	:	813-619-6493
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2020
Last Update Date	:	04/27/2020

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