Koons, Jay Clyde

Koons, Jay Clyde is an individual health care provider with primary practice located at 4645 Nw 8Th Ave Interventional Cardiologists Of Gainesville, Gainesville FL 32605-4524. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Koons, Jay Clyde can be contacted via phone (352) 331-8570.

Contact Information

Primary practice address
4645 Nw 8Th Ave Interventional Cardiologists Of Gainesville Gainesville FL 32605-4524
Phone: (352) 331-8570
Fax: (352) 331-9095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME55736 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME55736 Florida

Profile Details

NPI number 1942237714
LBN Legal business name Koons, Jay Clyde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Apr 25th, 2013 - about 11 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 1942237714 NPPES
Florida Other CM8550 MEDICARE RR
Florida MEDICAID 377799500 MEDICARE RR
Florida Other 26952 MEDICARE RR

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