Healthcare Provider Details

I. General information

NPI: 1457265290
Provider Name (Legal Business Name): JOSEPH LORENZ JONES JR. PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 CARSWELL AVE
DAYTONA BEACH FL
32117-5010
US

IV. Provider business mailing address

112 CARSWELL AVE
DAYTONA BEACH FL
32117-5010
US

V. Phone/Fax

Practice location:
  • Phone: 386-252-4900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberPMD546242
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: