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

Jonathan Martin De Vries, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942149646

Jonathan Martin De Vries, MD is a Student in an Organized Health Care Education/Training Program in Kissimmee, Florida. Registered with an NPI since 2026.

In the registry since
2026
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

720 W Oak St Ste 201
Kissimmee, FL 34741-4998
Phone: (321) 697-1774
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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 number1942149646
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2026
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address720 W Oak St Ste 201, Kissimmee, FL 34741-4998

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