Individual
JONATHAN MATTHEW FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AP, DOM
Contact information
Practice address
3720 COCONUT CREEK PKWY STE B, COCONUT CREEK, FL 33066-1634
(954) 884-0099
Mailing address
1440 CORAL RIDGE DR # 361, CORAL SPRINGS, FL 33071-5433
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3879
FL
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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