Provider Demographics
NPI:1417103342
Name:KARL D JONES, M.D. PA
Entity Type:Organization
Organization Name:KARL D JONES, M.D. PA
Other - Org Name:KARL D JONES, M.D. PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:727-422-4278
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00529212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL061088700Medicaid
FLAM731OtherMEDICARE
FL07638Medicare PIN