Individual
DR. DAVID LANE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1370 MAYFLOWER AVE, MELBOURNE, FL 32940-6723
(321) 259-5655
Mailing address
1370 MAYFLOWER AVE, MELBOURNE, FL 32940-6723
(321) 259-5655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6830
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
Enumeration date
09/06/2006
Last updated
09/08/2010
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