Provider Demographics
NPI:1750678348
Name:JONES, ALEXANDER STRONACH
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:STRONACH
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 NW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-2809
Mailing Address - Country:US
Mailing Address - Phone:786-222-0297
Mailing Address - Fax:305-246-0194
Practice Address - Street 1:27032 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:NARANJA
Practice Address - State:FL
Practice Address - Zip Code:33032-7315
Practice Address - Country:US
Practice Address - Phone:305-246-0240
Practice Address - Fax:305-246-0194
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL736202363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily