Individual
MRS. JONELL YOUNG MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12983 SOUTHERN BLVD STE 100, LOXAHATCHEE, FL 33470-9254
(561) 793-2500
(561) 793-2510
Mailing address
12983 SOUTHERN BLVD STE 100, LOXAHATCHEE, FL 33470-9254
(561) 793-2500
(561) 793-2510
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 0060657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372363100
—
FL
Enumeration date
08/09/2005
Last updated
08/16/2011
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