Provider Demographics
NPI:1568568822
Name:JONAS, ALFRED GORDON (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:GORDON
Last Name:JONAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:918 NE 119TH ST
Mailing Address - Street 2:
Mailing Address - City:BISCAYNE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33161-6444
Mailing Address - Country:US
Mailing Address - Phone:305-891-5030
Mailing Address - Fax:305-891-0502
Practice Address - Street 1:918 NE 119TH ST
Practice Address - Street 2:
Practice Address - City:BISCAYNE PARK
Practice Address - State:FL
Practice Address - Zip Code:33161-6444
Practice Address - Country:US
Practice Address - Phone:305-891-5030
Practice Address - Fax:305-891-0502
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME415722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry