SearchFlorida171100000X

Jonathan Lee, AP

NPI 1467716712 · on the registry since 2012

Practice

Address
505 Delannoy Ave
Cocoa, FL 32922
Phone
(321) 454-9259
Fax
(321) 454-9974
Organisation at this address
Shane C Hernesman Md Pa
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida