Individual ProviderJonathan AguilarCounselorBehavioral Health & Social Service ProvidersPractice Address1602 Oakfield Dr Ste 205, Brandon, FL 33511-0827(239) 690-6906(561) 291-4681PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Aguilar is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:06 AM.Profile DetailsProvider ID1679308720Provider TypeIndividualFull NameAguilar, JonathanCredentialLMHCGenderMaleSole ProprietorNoEnumeration Date9/6/2024Last Updated9/6/2024Contact InformationPractice LocationPractice Address1602 Oakfield Dr Ste 205, Brandon, FL 33511-0827Phone(239) 690-6906FaxUnlisted FaxMailing LocationMailing Address1220 E Paris St, Tampa, FL 33604-6844Phone(561) 291-4681FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH24236Florida