Provider Demographics
NPI:1821067984
Name:JONES, HOWARD D (DO)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:D
Last Name:JONES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 BLVD OF THE ARTS
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-4825
Mailing Address - Country:US
Mailing Address - Phone:229-630-8554
Mailing Address - Fax:
Practice Address - Street 1:906 BLVD OF THE ARTS
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-4825
Practice Address - Country:US
Practice Address - Phone:229-630-8554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA25774207P00000X
FLOS5630207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA728282OtherBLUE CROSS BLUE SHIELD
GA000280189GMedicaid
FL374138900Medicaid
GA000280189GMedicaid
D45781Medicare UPIN
FL374138900Medicaid