Fong, Jonathan C

Fong, Jonathan C is an individual health care provider with primary practice located at 1540 S Tamiami Trl Suite 303, Sarasota FL 34239-2930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Fong, Jonathan C can be contacted via phone (941) 917-8791.

Contact Information

Primary practice address
1540 S Tamiami Trl Suite 303 Sarasota FL 34239-2930
Phone: (941) 917-8791
Fax: (941) 917-8793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME80268 Florida

Profile Details

NPI number 1154359339
LBN Legal business name Fong, Jonathan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 1st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154359339 NPPES
Florida Other 49996B BCBSFL HMO
Florida Other 49996 BCBSFL HMO
Florida Other 49996A BCBSFL HMO
Florida MEDICAID 258797100 BCBSFL HMO

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