Provider Demographics
NPI:1255142469
Name:JONES, FELECIA ANITA
Entity type:Individual
Prefix:
First Name:FELECIA
Middle Name:ANITA
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 NW 7TH ST APT 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4471
Mailing Address - Country:US
Mailing Address - Phone:470-776-3209
Mailing Address - Fax:
Practice Address - Street 1:6560 NW 7TH ST APT 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4471
Practice Address - Country:US
Practice Address - Phone:470-776-3209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier