Individual
JONATHAN ALAN DISBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5424 GRAND BLVD, NEW PORT RICHEY, FL 34652-4008
(727) 845-1736
Mailing address
5424 GRAND BLVD, NEW PORT RICHEY, FL 34652-4008
(727) 845-1736
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME102719
FL
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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