Provider Demographics
NPI:1235236522
Name:JONES, KARL D (MD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:D
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34681-0130
Mailing Address - Country:US
Mailing Address - Phone:727-422-4278
Mailing Address - Fax:727-784-1917
Practice Address - Street 1:11300 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-7451
Practice Address - Country:US
Practice Address - Phone:727-541-2646
Practice Address - Fax:727-784-1917
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME529212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL061088700Medicaid
FLAM731OtherMEDICARE IDENTIFIER
FL1417103342OtherGROUP NPI