Provider Demographics
NPI:1811941610
Name:NAGY, JONATHAN P (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:P
Last Name:NAGY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2995 DREW ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3012
Mailing Address - Country:US
Mailing Address - Phone:727-532-1355
Mailing Address - Fax:813-635-2613
Practice Address - Street 1:2102 TRINITY OAKS BLVD STE 216
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-4409
Practice Address - Country:US
Practice Address - Phone:727-372-2501
Practice Address - Fax:813-635-2698
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME60911207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL373372600Medicaid
FL080115586OtherRAILROAD MEDICARE NUMBER
FL373372600Medicaid
FL080115586OtherRAILROAD MEDICARE NUMBER
FL14509XMedicare PIN