Healthcare Provider Details

I. General information

NPI: 1134564222
Provider Name (Legal Business Name): JONATHAN ANTHONY HINDS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2013
Last Update Date: 07/25/2025
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 S. FEDERAL HIGHWAY
BOCA RATON FL
33432
US

IV. Provider business mailing address

64 S. FEDERAL HIGHWAY
BOCA RATON FL
33432
US

V. Phone/Fax

Practice location:
  • Phone: 561-289-7729
  • Fax: 561-208-5249
Mailing address:
  • Phone: 561-289-7729
  • Fax: 916-333-3634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA09815700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA167145
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: