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Organization
JP VANDONGEN, MD, PA
Active
Organization
JP VANDONGEN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P VAN DONGEN MD (OWNER/PRESIDENT)
(239) 643-7888
Entity
Organization
Contact information
Practice address
599 9TH ST N, #308, NAPLES, FL 34102-5627
(239) 643-7888
(239) 643-4744
Mailing address
599 9TH ST N, #308, NAPLES, FL 34102-5627
(239) 643-7888
(239) 643-4744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME73716
FL
207R00000X
Internal Medicine Physician
ME127276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-90398
OHC
—
05
—
255617100
—
FL
01
—
5727534
AETNA
—
Enumeration date
09/07/2006
Last updated
01/10/2018
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