Individual
JONATHYN ANDREW MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
Mailing address
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/26/2021
Last updated
06/28/2021
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