Individual
DR. DOUGLAS L. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
646 VIRGINIA ST, SUITE 204, DUNEDIN, FL 34698-6612
(727) 736-3212
(813) 635-2635
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME39581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066705600
—
FL
01
—
110196947
RAILRAOD MEDICARE NUMBER
FL
Enumeration date
05/12/2006
Last updated
07/16/2010
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