Individual provider · Type 1 NPI
Jonias Destine, PA-C
Medical Physician Assistant · Hallandale Beach, FL
NPI number
1003118357
Active
Practice location
2500 E. Hallandale Beach Blvd, Suite 301
Hallandale Beach, FL 33009
Fax (954) 354-8151
Mailing address
4855 W Hillsboro Blvd, Ste B2
Coconut Creek, FL 33073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9105669 (FL) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Hallandale Beach
About NPI 1003118357
Jonias Destine, PA-C's National Provider Identifier is 1003118357, issued on Nov 18, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hallandale Beach, FL. The record was last updated on Apr 19, 2019.