Provider Demographics
NPI:1093801334
Name:JONES, NORMAN ALEX (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:ALEX
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2407 RUTH HENTZ AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-2259
Mailing Address - Country:US
Mailing Address - Phone:850-522-5022
Mailing Address - Fax:850-387-0807
Practice Address - Street 1:2407 RUTH HENTZ AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-2259
Practice Address - Country:US
Practice Address - Phone:850-522-5022
Practice Address - Fax:850-387-0807
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-7836208600000X
FLME107287208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002670200Medicaid
FL1013229608Medicare UPIN