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Individual

ALLEN JAMES JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
(386) 943-4522
Mailing address
PO BOX 9430, DAYTONA BEACH, FL 32120-9430

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME79075
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
227227
AMERIGROUP
FL
05
258374700
FL
01
49384
BLUE CROSS
FL
Enumeration date
07/06/2006
Last updated
08/03/2009
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