Provider Demographics
NPI:1326939844
Name:ASHJON MEDICAL LLC
Entity type:Organization
Organization Name:ASHJON MEDICAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DARIAN
Authorized Official - Middle Name:HILTON
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:863-214-7853
Mailing Address - Street 1:1204 CARLTON AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE WALES
Mailing Address - State:FL
Mailing Address - Zip Code:33853-4318
Mailing Address - Country:US
Mailing Address - Phone:863-214-7853
Mailing Address - Fax:
Practice Address - Street 1:1204 CARLTON AVE
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33853-4318
Practice Address - Country:US
Practice Address - Phone:863-214-7853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-12
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1487128393OtherNPPES
FL1528694882OtherNPPES