Individual
DR. JONATHAN THOMAS DEGROAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6531 CHANNELSIDE DR, NEW PORT RICHEY, FL 34652-2061
(941) 725-1868
Mailing address
6531 CHANNELSIDE DR, NEW PORT RICHEY, FL 34652-2061
(941) 725-1868
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME114356
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009326800
—
FL
Enumeration date
06/15/2010
Last updated
01/19/2014
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