Provider Demographics
NPI:1811168412
Name:JONATHAN B MAY DPM PA
Entity type:Organization
Organization Name:JONATHAN B MAY DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:BYRON
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:727-343-9400
Mailing Address - Street 1:5748 54 AVE NORTH
Mailing Address - Street 2:
Mailing Address - City:KENNETH CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33709
Mailing Address - Country:US
Mailing Address - Phone:727-343-9400
Mailing Address - Fax:727-209-0399
Practice Address - Street 1:5748 54 AVE NORTH
Practice Address - Street 2:
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709
Practice Address - Country:US
Practice Address - Phone:727-343-9400
Practice Address - Fax:727-209-0399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-22
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1302213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4532630001Medicare NSC