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NPI Code Detail

MEDICARE: MS. DEBORAH A JONES PA-C

MEDICARE: MS. DEBORAH A JONES PA-C
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
1363A00000XPhysician AssistantPA9101923FL

General Provider Information

NPI Number : 1790747186
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH A JONES PA-C
Provider Business Mailing Address
First Line : 1100 PARK CENTRAL BLVD S
Second Line : SUITE3400
City : POMPANO BEACH
State : FL
Zip : 33064-2218
Country : US
Telephone Number : 954-691-0830
Fax Number :
Provider Business Practice Location Address
First Line : 1900 CORPORATE SQUARE BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-1941
Country : US
Telephone Number : 904-899-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 04/07/2015

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