Provider Demographics
NPI:1457550923
Name:BYRNES, JONATHAN WINFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:WINFREY
Last Name:BYRNES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 100297
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0297
Mailing Address - Country:US
Mailing Address - Phone:352-273-5422
Mailing Address - Fax:
Practice Address - Street 1:1600 7TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-638-9100
Practice Address - Fax:205-975-6505
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.379602080P0202X, 2080P0203X
LA3333662080P0203X
FLME1478802080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology