Individual
JOSEPH MIGNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 SAN MARCO BLVD, 3RD FLOOR, JACKSONVILLE, FL 32207
(904) 493-5100
(904) 493-5130
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME79920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034496
CAREPLUS
FL
01
—
1193403
WELLCARE
FL
05
—
2623820-00
—
FL
01
—
273639
AVMED
FL
01
—
51714
BCBS
FL
05
—
849494350E
—
GA
01
—
P0022944
FLORIDA HEALTHCARE PLUS
FL
01
—
P01593281
RRMEDICARE
FL
Enumeration date
10/05/2005
Last updated
06/29/2018
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