Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME0050570 | FL |
NPI | 1144296377 |
---|---|
Provider Name | Dr. Craig P Jones |
First Address | Orlando, FL 32806-4475 |
Second Address | Orlando, FL 32806-4475 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 10/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
046001000 | (05) | FL |
D50813 | (02) |