Provider Demographics
NPI:1538483102
Name:DARLENE LYNETTE JONES DO LLC
Entity Type:Organization
Organization Name:DARLENE LYNETTE JONES DO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-774-1848
Mailing Address - Street 1:6030 PRINTERY ST
Mailing Address - Street 2:UNIT 108
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33616-1414
Mailing Address - Country:US
Mailing Address - Phone:813-774-1848
Mailing Address - Fax:813-837-1373
Practice Address - Street 1:1501 5TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-2008
Practice Address - Country:US
Practice Address - Phone:727-896-8686
Practice Address - Fax:727-898-9596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty