Provider Demographics
NPI:1982851515
Name:JONES, JUSTIN C (GC AND ROOFING)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:C
Last Name:JONES
Suffix:
Gender:M
Credentials:GC AND ROOFING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29750 66TH WAY N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-1606
Mailing Address - Country:US
Mailing Address - Phone:727-644-0160
Mailing Address - Fax:727-412-8631
Practice Address - Street 1:29750 66TH WAY N
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-1606
Practice Address - Country:US
Practice Address - Phone:727-644-0160
Practice Address - Fax:727-412-8631
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRR282811613171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications