Individual
JONATHAN MICHAEL CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2450 N ORANGE BLOSSOM TRL, KISSIMMEE, FL 34744-2316
(407) 846-4343
Mailing address
2450 N ORANGE BLOSSOM TRL, KISSIMMEE, FL 34744-2316
(407) 846-4343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704393276
MI
163W00000X
Registered Nurse
Primary
9599547
FL
163W00000X
Registered Nurse
R915554
MS
Other
Enumeration date
06/14/2020
Last updated
09/22/2022
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