MEDICARE: JON DAVID DONSHIK M.D.

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	207X00000X	Orthopaedic Surgery Physician	ME79363	FL

General Provider Information

NPI Number	:	1396748091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JON DAVID DONSHIK M.D.

Provider Business Mailing Address
First Line	:	301 NW 84TH AVE
Second Line	:	STE 303
City	:	PLANTATION
State	:	FL
Zip	:	33324-1807
Country	:	US
Telephone Number	:	954-888-1000
Fax Number	:	954-888-1446

Provider Business Practice Location Address
First Line	:	301 NW 84TH AVE
Second Line	:	STE 303
City	:	PLANTATION
State	:	FL
Zip	:	33324-1807
Country	:	US
Telephone Number	:	954-888-1000
Fax Number	:	954-888-1446

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	08/12/2020

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Directions to “ JON DAVID DONSHIK M.D.” Practice Location

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