Provider Demographics
NPI:1043478902
Name:NATION, JAVAN JONATHON (MD)
Entity type:Individual
Prefix:
First Name:JAVAN
Middle Name:JONATHON
Last Name:NATION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N MILLS AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-5735
Mailing Address - Country:US
Mailing Address - Phone:407-821-3655
Mailing Address - Fax:
Practice Address - Street 1:401 N MILLS AVE STE C
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5735
Practice Address - Country:US
Practice Address - Phone:407-821-3655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA125279207Y00000X, 207YP0228X
FLME163134207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology