Individual
JONATHAN CEDRIC THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6499 38TH AVE N, SUITE B-2, ST PETERSBURG, FL 33710-1656
(727) 347-6635
(727) 343-0913
Mailing address
6499 38TH AVE N, SUITE B-2, ST PETERSBURG, FL 33710-1656
(727) 347-6635
(727) 343-0913
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
50125
FL
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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