Individual
JONATHAN JASON VAN HEERTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
625 TAMIAMI TRL N STE 304, NAPLES, FL 34102-8143
(239) 234-6829
Mailing address
625 TAMIAMI TRL N STE 304, NAPLES, FL 34102-8143
(239) 234-6829
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
UO3768
FL
Other
Enumeration date
06/18/2014
Last updated
05/09/2024
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