MEDICARE: DR. CHERYL SANDOSKI JONES 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	207N00000X	Dermatology Physician	0059615	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1588600795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL SANDOSKI JONES M.D.

Provider Business Mailing Address
First Line	:	4624 N DAVIS HWY STE 200
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2337
Country	:	US
Telephone Number	:	850-494-0940
Fax Number	:

Provider Business Practice Location Address
First Line	:	4624 N DAVIS HWY STE 200
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2337
Country	:	US
Telephone Number	:	850-494-0940
Fax Number	:	850-696-2913

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	04/15/2020

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