Provider Demographics
NPI:1376582684
Name:JONES, PAUL O JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:O
Last Name:JONES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PAUL
Other - Middle Name:O
Other - Last Name:JONES
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:599 9TH ST N
Mailing Address - Street 2:SUITE 307
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5623
Mailing Address - Country:US
Mailing Address - Phone:239-325-4804
Mailing Address - Fax:239-325-4800
Practice Address - Street 1:599 9TH ST N
Practice Address - Street 2:STE 307
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5623
Practice Address - Country:US
Practice Address - Phone:239-325-4804
Practice Address - Fax:239-325-4800
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0054146207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL064669500Medicaid
FL11215OtherBLUE SHIELD
FL40916BOtherBLUE CROSS
FL5811231OtherONE HEALTH PLAN
FL0106564OtherUNITED HEALTH CARE
FL4307648OtherAETNA
FL4307648OtherAETNA
FL11215OtherBLUE SHIELD