Mona and Gonder, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0027743 Issued in FL

Legal business name

MONA AND GONDER, P.A.

Practice address

3599 University Blvd S Ste 905
Jacksonville, FL 32216-4295

Phone

(904) 396-9096

Fax

(904) 396-1691

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Evelyn Germer

Title

Office Manager

Phone

(904) 396-9096

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043436413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 905",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164295",
            "telephone_number": "904-396-9096",
            "fax_number": "904-396-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 905",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164295",
            "telephone_number": "904-396-9096",
            "fax_number": "904-396-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA AND GONDER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERMER",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-396-9096",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0027743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.