MEDICARE: NATHAN ANTHONY JONES DC

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	111N00000X	Chiropractor	1499	NE
2	111N00000X	Chiropractor	1730	AR
3	111N00000X	Chiropractor	CH9805	FL

General Provider Information

NPI Number	:	1780854018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN ANTHONY JONES DC

Provider Business Mailing Address
First Line	:	3333 W WATERS AVE
Second Line	:	SUITE C
City	:	TAMPA
State	:	FL
Zip	:	33614-2758
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 W WATERS AVE
Second Line	:	SUITE C
City	:	TAMPA
State	:	FL
Zip	:	33614-2758
Country	:	US
Telephone Number	:	813-935-2099
Fax Number	:	813-935-1388

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

Provider Enumeration Date	:	03/03/2008
Last Update Date	:	04/11/2012

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