Jonias Destine, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9105669 Issued in FL

Practice address

2500 E. Hallandale Beach Blvd
Suite 301
Hallandale Beach, FL 33009

Phone

(954) 458-2572

Fax

(954) 354-8151

NPI assigned

Nov 18, 2010

Last updated

Apr 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJGBDA
• FHIR API: https://fhir4.healow.com/fhir/r4/HAEGBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete Local Specialty Care, Inc

  dba CLSC

  • Family Medicine Physician
  • Coconut Creek, FL
  • NPI 1538155262
  NPD (past)
• Mel-Bay Health Care Inc

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1407162654
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1003118357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 W HILLSBORO BLVD",
            "address_2": "STE B2",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33073",
            "telephone_number": "954-418-1683",
            "fax_number": "954-418-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E. HALLANDALE BEACH BLVD",
            "address_2": "SUITE 301",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "954-458-2572",
            "fax_number": "954-354-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTINE",
        "first_name": "JONIAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-18",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delilah Maira Depena
• Derma Laser Center LLC (HPE Medical)
• Dermatology and Cosmetics Institute LLC
• Dermatology Boutique PA
• Dermatology Group of Florida PA
• Amanda Diab El Harakeh
• Diagnostic Associates of Florida, Inc.
• Ismael Diaw
• Diaz Bros Health Management LLC
• Adisnay Diaz Fernandez

• Medical Physician Assistant in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.