Individual
JONATHAN BARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5137
(904) 824-1450
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
(352) 391-6498
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA057846
PA
363AM0700X
Medical Physician Assistant
Primary
PA9110206
FL
Other
Enumeration date
11/12/2015
Last updated
02/17/2021
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