Individual
ELIJAH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8960 COLONIAL CENTER DR, FORT MYERS, FL 33905-7810
(239) 343-9400
Mailing address
529 HUNTING HILLS DR, SHELBYVILLE, KY 40065-1984
(502) 321-8904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9118616
FL
363A00000X
Physician Assistant
Primary
9118616
FL
Other
Enumeration date
05/24/2024
Last updated
09/25/2024
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