Individual
DR. JONATHAN WAYNE VONKOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2489 DIPLOMAT PKWY E, CAPE CORAL, FL 33909-5422
(239) 652-1800
(239) 652-1930
Mailing address
11180 SPARKLEBERRY DR, FORT MYERS, FL 33913-8832
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
OS14198
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018988100
—
FL
Enumeration date
07/12/2012
Last updated
10/17/2024
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