NPI 1003118357

Jonias Destine, PAC

Practitioner Medical Physician Assistant Hallandale Beach, FL

Practice location

Address: 2500 E. Hallandale Beach Blvd Suite 301, Hallandale Beach, FL 33009
Phone: (954) 458-2572
Fax: (954) 354-8151
Mailing address: 4855 W Hillsboro Blvd STE B2, Coconut Creek, FL 33073

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA9105669 (FL)

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Registry record

NPI: 1003118357
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2010
Record last updated: 19 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.