MEDICARE: ASHJON MEDICAL LLC

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
1	261QU0200X	Urgent Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1487128393	OTHER	FL	NPPES
2	1528694882	OTHER	FL	NPPES

General Provider Information

NPI Number	:	1326939844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHJON MEDICAL LLC

Provider Business Mailing Address
First Line	:	1204 CARLTON AVE
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33853-4318
Country	:	US
Telephone Number	:	863-214-7853
Fax Number	:

Provider Business Practice Location Address
First Line	:	1204 CARLTON AVE
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33853-4318
Country	:	US
Telephone Number	:	863-214-7853
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DARIAN HILTON JONES
Credential	:	ARNP
Telephone Number	:	863-456-4091

Provider Enumeration Date	:	07/12/2025
Last Update Date	:	06/03/2026

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Directions to “ASHJON MEDICAL LLC ” Practice Location

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