Healthcare Provider Details

I. General information

NPI: 1770537599
Provider Name (Legal Business Name): JON S DOUNCHIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 9TH ST N STE 101
NAPLES FL
34102-5886
US

IV. Provider business mailing address

PO BOX 8569
NAPLES FL
34101-8569
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-1700
  • Fax: 239-624-1735
Mailing address:
  • Phone: 239-624-0400
  • Fax: 239-624-0464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME83241
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: