Individual
MR. JONATHAN JOSEPH FALCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
279 S YONGE ST, ORMOND BEACH, FL 32174-6257
(386) 673-2133
(386) 673-2743
Mailing address
1524 OAK FOREST DR, ORMOND BEACH, FL 32174-3410
(386) 235-0423
(386) 673-2743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9101282
FL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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