Provider Demographics
NPI:1669763280
Name:JONES, SONYA M (MS)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:SONYA
Other - Middle Name:M
Other - Last Name:WATTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 GOVERNORS AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-7023
Mailing Address - Country:US
Mailing Address - Phone:407-295-7670
Mailing Address - Fax:407-298-3871
Practice Address - Street 1:900 GOVERNORS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-7023
Practice Address - Country:US
Practice Address - Phone:407-295-7670
Practice Address - Fax:407-298-3871
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-30
Last Update Date:2011-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No174H00000XOther Service ProvidersHealth Educator