# JONATHAN S CRISS MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275942161
- **Authorized official:** JONATHAN CRISS MD (OWNER)
- **Authorized official phone:** (561) 430-2070

## Contact information

- **Practice address:** 10151 ENTERPRISE CENTER BLVD, STE 203, BOYNTON BEACH, FL 33437
- **Practice address phone:** (561) 430-2070
- **Mailing address:** 7410 SEDONA WAY, DELRAY BEACH, FL 33446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME118571 | FL | Yes |

## Other

- **Enumeration date:** 08/05/2014
- **Last updated:** 08/05/2014