Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Paul Van Name, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407616147

Dr. Jonathan Paul Van Name, MD is a Student in an Organized Health Care Education/Training Program in Gainesville, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 SW Archer Rd Fl 32610
Gainesville, FL 32610-3003
Phone: (352) 273-9914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1407616147
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2024
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024
Mailing address1600 Sw Archer Rd Fl 32610, Gainesville, FL 32610-3003

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