Provider Information for 1679827760
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
SHAVONNE JONES
Sex: Female
NPI: 1679827760
Last Updated: 2012-10-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1679827760 | ||||||||
| Enumeration Date | 2012-10-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1401 S FEDERAL HWY FT LAUDERDALE, FL 33316-2619 United States Phone: 954-712-5079 | Fax: | ||||||||
| Primary Practice Address | 1401 S FEDERAL HWY FT LAUDERDALE, FL 33316-2619 United States Phone: 954-712-5079 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|