Provider Demographics
NPI:1598760027
Name:YUNIS, JONATHAN P (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:P
Last Name:YUNIS
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 1:1435 S OSPREY AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2905
Mailing Address - Country:US
Mailing Address - Phone:941-953-5917
Mailing Address - Fax:941-312-4804
Practice Address - Street 1:1435 S OSPREY AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2905
Practice Address - Country:US
Practice Address - Phone:941-953-5917
Practice Address - Fax:941-312-4804
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0062511174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME0062511OtherMEDICAL LICENSE
FLBY2192805OtherDEA
FLBY2192805OtherDEA
FLME0062511OtherMEDICAL LICENSE
FLE44877Medicare UPIN