Individual
DR. JONATHAN HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3231 MCMULLEN BOOTH RD, SAFETY HARBOR, FL 34695-6607
(727) 725-6111
(727) 266-4931
Mailing address
3231 MCMULLEN BOOTH RD FL 1, SAFETY HARBOR, FL 34695-6607
(727) 725-6905
(727) 266-4931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS14572
FL
208M00000X
Hospitalist Physician
Primary
OS14572
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021951500
—
FL
Enumeration date
04/10/2014
Last updated
04/01/2022
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