Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | OS14533 | FL |
Y | 213ES0000X | Sports Medicine | OS14533 | FL |
NPI | 1376819979 |
---|---|
Provider Name | Franz Stephen Jones |
First Address | Weston, FL 33326-3639 |
Second Address | Weston, FL 33326-3641 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2012 |
Last Update Date | 05/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002876700 | GROUP MEDICAID (01) | FL |
021691600 | (05) | FL |