Individual
JONATHAN ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14601 HOPE CENTER LOOP, FORT MYERS, FL 33912-4707
(239) 334-7000
(239) 334-7070
Mailing address
14601 HOPE CENTER LOOP, FORT MYERS, FL 33912-4707
(239) 334-7000
(239) 334-7070
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS18861
FL
207XX0801X
Orthopaedic Trauma Physician
OS18861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS18861
MEDICAL LICENSE
FL
Enumeration date
06/14/2016
Last updated
02/05/2024
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