Individual ProviderJonathan DoolanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2306 Martin Luther King Jr Blvd, Panama City, FL 32405-4404(850) 250-0021(850) 890-1291PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Doolan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1154057198Provider TypeIndividualFull NameDoolan, JonathanCredentialAPRNGenderMaleSole ProprietorYesEnumeration Date7/30/2022Last Updated2/9/2024Contact InformationPractice LocationPractice Address2306 Martin Luther King Jr Blvd, Panama City, FL 32405-4404Phone(850) 250-0021Fax(850) 250-0022Mailing LocationMailing Address7003 Jolee Rd, Panama City, FL 32404-4436Phone(850) 890-1291FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11019055Florida