Provider Demographics
NPI:1851797120
Name:DOWN TIME HYPERBARICS AND EMERGENCY MEDICINE, PLLC
Entity Type:Organization
Organization Name:DOWN TIME HYPERBARICS AND EMERGENCY MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-773-3544
Mailing Address - Street 1:6428 W HIGHWAY 98
Mailing Address - Street 2:
Mailing Address - City:PORT ST JOE
Mailing Address - State:FL
Mailing Address - Zip Code:32456-7401
Mailing Address - Country:US
Mailing Address - Phone:330-773-3544
Mailing Address - Fax:330-773-3698
Practice Address - Street 1:6428 W HIGHWAY 98
Practice Address - Street 2:
Practice Address - City:PORT ST JOE
Practice Address - State:FL
Practice Address - Zip Code:32456-7401
Practice Address - Country:US
Practice Address - Phone:330-773-3544
Practice Address - Fax:330-773-3698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108942208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty