Jonathan C Fong
Cardiothoracic Vascular Surgeon
1540 S Tamiami Trl Suite 303
Sarasota
, Florida 34239-2930
Jonathan C Fong
Cardiothoracic Vascular Surgeon
1540 S Tamiami Trl Suite 303
Sarasota
, Florida 34239-2930
(941) 917-7884
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Jonathan C Fong
- Po Box 863407
- Orlando, FL
- Zip : 32886-3407
- Fax : (941) 917-7884
- Phone : (941) 917-2600
Second Address
- Jonathan C Fong
- 1540 S Tamiami Trl Suite 303
- Sarasota, FL
- Zip : 34239-2930
- Fax : (941) 917-8793
- Phone : (941) 917-8791
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME80268 | FL |
National Provider Identifier
| NPI | 1154359339 |
|---|---|
| Provider Name | Jonathan C Fong |
| First Address | Orlando, FL 32886-3407 |
| Second Address | Sarasota, FL 34239-2930 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2006 |
| Last Update Date | 01/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 258797100 | (05) | FL |
| 49996 | BCBS FL (01) | FL |
| 49996A | BCBSFL HMO (01) | FL |
| 49996B | BCBSFL HMO (01) | FL |
| G25882 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.