| Doctor Name: | JONIAS DESTINE |
| NPI Number: | 1003118357 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA9105669 |
| Business Practice Address: | 1700 E Hallandale Beach Blvd Hallandale Beach, FL - 330094611 |
| Business Phone Number: | 9544582572 |
| Business Fax Number: | 9543548151 |
| Mailing Address: | 235 Nw 118th St, MIAMI |
| State: | FL |
| Postal Code: | 331684411 |
| Phone Number: | 7864870508 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2010 |
| NPI Last Update Date: | 05/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA9105669 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |