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Organization

NAVARRE FAMILY HEALTH PA

Active
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Organization

NAVARRE FAMILY HEALTH PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY D LEVENTHAL M.D. (M.D.)
(850) 936-8048
Entity
Organization

Contact information

Practice address
1929 ORTEGA STREET, NAVARRE, FL 32566-4111
(850) 936-8048
(850) 936-8049
Mailing address
1929 ORTEGA STREET, NAVARRE, FL 32566-4111
(850) 936-8048
(850) 936-8049

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME69470
FL
261QP2300X
Primary Care Clinic/Center
ME69470
FL

Other

Enumeration date
01/22/2009
Last updated
01/03/2012
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