Provider Demographics
NPI:1720074610
Name:JONES, ROLAND PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:ROLAND
Middle Name:PETER
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:PO BOX 15399
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-5399
Mailing Address - Country:US
Mailing Address - Phone:850-765-8623
Mailing Address - Fax:850-765-0118
Practice Address - Street 1:1401 OVEN PARK DR
Practice Address - Street 2:SUITE 201
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-7959
Practice Address - Country:US
Practice Address - Phone:850-765-8623
Practice Address - Fax:850-765-0118
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME104540208VP0014X, 208VP0000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology