Individual
MILTON JOHN VONTHRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1577 ROBERTS DR STE 225, CREDENTIALING DEPARTMENT, JACKSONVILLE BEACH, FL 32250-3265
(904) 241-1204
(904) 241-7331
Mailing address
PO BOX 117345, ATLANTA, GA 30368-7345
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME63253
FL
207XP3100X
Pediatric Orthopaedic Surgery Physician
ME63253
FL
207XS0106X
Orthopaedic Hand Surgery Physician
ME63253
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME63253
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME63253
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200024455
RAILROAD MEDICARE
FL
05
—
3795195-00
—
FL
Enumeration date
06/13/2005
Last updated
11/16/2020
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