Individual
JONIAS DESTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2500 E. HALLANDALE BEACH BLVD, SUITE 301, HALLANDALE BEACH, FL 33009
(954) 458-2572
(954) 354-8151
Mailing address
4855 W HILLSBORO BLVD, STE B2, COCONUT CREEK, FL 33073
(954) 418-1683
(954) 418-1698
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105669
FL
Other
Enumeration date
11/18/2010
Last updated
04/19/2019
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