Individual
JONATHAN SCOTT DORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6065 N TROPICAL TRL, MERRITT ISLAND, FL 32953-7212
(321) 863-4986
(321) 453-3786
Mailing address
6065 N TROPICAL TRL, MERRITT ISLAND, FL 32953-7212
(321) 863-4986
(321) 453-3786
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME37620
FL
2085U0001X
Diagnostic Ultrasound Physician
ME37620
FL
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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