Individual
CHARLES JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 SW ARCHER RD, GAINESVILLE, FL 32608-1134
(352) 265-0111
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0186
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9108813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015584900
—
FL
Enumeration date
07/31/2015
Last updated
10/06/2015
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