Provider Demographics
NPI:1629364849
Name:JONES, CHRISTOPHER ISAIAH (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ISAIAH
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8575 NE 138TH LN STE 203
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-8996
Mailing Address - Country:US
Mailing Address - Phone:352-461-6647
Mailing Address - Fax:866-264-8519
Practice Address - Street 1:VILLAGE HEART AND VEIN CENTER
Practice Address - Street 2:8575 NE 138TH LANE SUITE 203
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159
Practice Address - Country:US
Practice Address - Phone:352-674-2080
Practice Address - Fax:352-674-2178
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME141042207RC0001X
IL036142806207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program