Individual
JUSLAIN JONATHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 HEALTH PARK DR, MOORE HAVEN, FL 33471-6206
(863) 946-0405
(863) 847-2310
Mailing address
4450 S TIFFANY DR, WEST PALM BEACH, FL 33407-3241
(561) 844-9443
(561) 844-1013
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9374836
FL
363LF0000X
Family Nurse Practitioner
ARNP9374836
FL
Other
Enumeration date
09/22/2015
Last updated
08/26/2019
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