Healthcare Provider Details

I. General information

NPI: 1194829556
Provider Name (Legal Business Name): JONATHAN JAY AARONS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 NE 20TH TER STE 303
FORT LAUDERDALE FL
33308-4510
US

IV. Provider business mailing address

4800 NE 20TH TER STE 303
FORT LAUDERDALE FL
33308-4510
US

V. Phone/Fax

Practice location:
  • Phone: 954-771-8877
  • Fax: 954-771-3629
Mailing address:
  • Phone: 954-771-8877
  • Fax: 954-771-3629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME0056858
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME56858
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: