Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DN4615 | FL |
Y | 213EG0000X | General Practice | DN4615 | FL |
NPI | 1003932336 |
---|---|
Provider Name | Dr. William J. Jones |
First Address | Boca Raton, FL 33486-1310 |
Second Address | Boca Raton, FL 33486-1310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 08/07/2007 |