Individual
MICIAH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 UNIVERSITY BLVD S STE 221, JACKSONVILLE, FL 32216-4392
(309) 781-1129
Mailing address
3901 UNIVERSITY BLVD S STE 221, JACKSONVILLE, FL 32216-4392
(309) 781-1129
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
OS16062
FL
207RI0011X
Interventional Cardiology Physician
Primary
OS16062
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2012
Last updated
08/30/2019
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