Provider Demographics
NPI:1124293568
Name:JONES, HUGH GREGORY (MD)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:GREGORY
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11398
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-1398
Mailing Address - Country:US
Mailing Address - Phone:877-448-8675
Mailing Address - Fax:772-621-3180
Practice Address - Street 1:4725 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4603
Practice Address - Country:US
Practice Address - Phone:954-267-6650
Practice Address - Fax:954-351-7874
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248347-12085R0202X
FLME1064162085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL147PTOtherBCBS
FLDF803TOtherMEDICARE PTAN
FL001936700Medicaid