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NPI Code Detail

MEDICARE: DR. IVAN M JONAS MD

MEDICARE:  DR. IVAN M JONAS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME39020FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265438410
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IVAN M JONAS MD
Provider Business Mailing Address
First Line : 4300 ALTON RD
Second Line : STE 810
City : MIAMI BEACH
State : FL
Zip : 33140-2800
Country : US
Telephone Number : 305-674-5925
Fax Number : 305-674-5927
Provider Business Practice Location Address
First Line : 4300 ALTON RD
Second Line : STE 810
City : MIAMI BEACH
State : FL
Zip : 33140-2800
Country : US
Telephone Number : 305-674-5925
Fax Number : 305-674-5927
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 02/22/2010

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Directions to “ DR. IVAN M JONAS MD” Practice Location

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