Staman, Jonathan A

Staman, Jonathan A is an individual health care provider with primary practice located at 8786 Perimeter Park Blvd , Jacksonville FL 32216-6347. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Staman, Jonathan A can be contacted via phone (904) 997-9202.

Contact Information

Primary practice address
8786 Perimeter Park Blvd Jacksonville FL 32216-6347
Phone: (904) 997-9202
Fax: (904) 997-9205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 68566 Georgia
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X ME114146 Florida
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 68566 Georgia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME114146 Florida

Profile Details

NPI number 1588855639
LBN Legal business name Staman, Jonathan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Apr 19th, 2023 - about last year

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 1588855639 NPPES
Florida MEDICAID 008870100
Florida MEDICAID 003135004B

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