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General NPI Number Information
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NPI Number | 1184627291
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Entity Type | Individual
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Provider Name | JONATHAN E CONSTANTIN DO
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 1219 S PINE AVE STE 204
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City | OCALA
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State | FL
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Zip | 34471-6524
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Country | US
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Telephone | 352-354-9000
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Fax | 352-620-0255
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Provider Business Mailing Address
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Address Line | PO BOX 551308
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City | JACKSONVILLE
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State | FL
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Zip | 32255-1308
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Country | US
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Telephone | 904-493-3333
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Fax | 904-493-2222
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 055554
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | OS8945
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License Number State | FL
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