Healthcare Provider Details

I. General information

NPI: 1851446272
Provider Name (Legal Business Name): JONATHAN LEE TURKISH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 45TH ST STE 103
MANGONIA PARK FL
33407-2450
US

IV. Provider business mailing address

927 45TH ST STE 103
MANGONIA PARK FL
33407-2450
US

V. Phone/Fax

Practice location:
  • Phone: 561-209-6990
  • Fax: 561-209-5419
Mailing address:
  • Phone: 561-209-6990
  • Fax: 561-209-5419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME153281
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA07545700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: