Individual
JONAS AUGUSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1337 PINETTA CIR, WELLINGTON, FL 33414-6015
(561) 422-7059
Mailing address
1337 PINETTA CIR, WELLINGTON, FL 33414-6015
(561) 422-7059
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6906785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015220300
—
FL
Enumeration date
02/24/2016
Last updated
02/24/2016
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