MEDICARE: JONATHAN COURTNEY MD

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	261371	NY
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	ME122073	FL

General Provider Information

NPI Number	:	1811293053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN COURTNEY MD

Provider Business Mailing Address
First Line	:	3313 W HILLSBORO BLVD
Second Line	:	SUITE 202
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9423
Country	:	US
Telephone Number	:	954-571-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3313 W HILLSBORO BLVD
Second Line	:	SUITE 202
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9423
Country	:	US
Telephone Number	:	954-571-9500
Fax Number	:

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

Provider Enumeration Date	:	02/06/2011
Last Update Date	:	06/01/2016

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