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General NPI Number Information
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NPI Number | 1336146927
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Entity Type | Individual
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Provider Name | JONATHAN S CROSS MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 21000 NE 28TH AVE STE 205
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City | AVENTURA
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State | FL
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Zip | 33180-1402
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Country | US
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Telephone | 305-933-5993
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Fax | 305-933-9415
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Provider Business Mailing Address
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Address Line | 9960 NW 116TH WAY STE 13
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City | MEDLEY
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State | FL
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Zip | 33178-1175
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Country | US
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Telephone | 786-924-1311
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Fax | 786-924-1313
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME0072217
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License Number State | FL
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