Individual provider · Type 1 NPI

Jonathan Paul Van Name, MD

Student in an Organized Health Care Education/Training Program · Gainesville, FL

NPI number 1407616147 Active

Practice location

1600 SW Archer Rd Fl 32610
Gainesville, FL 32610-3003

Call (352) 273-9914 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407616147

Jonathan Paul Van Name, MD's National Provider Identifier is 1407616147, issued on Mar 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, FL. The record was last updated on Mar 20, 2024.