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Organization
JACKSONVILLE INTERNAL MEDICINE
Active
Organization
JACKSONVILLE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ILENE S LEVENSON MD (OWNER)
(904) 396-0454
Entity
Organization
Contact information
Practice address
6144 GAZEBO PARK PL S, SUITE 102, JACKSONVILLE, FL 32257-1099
(904) 396-0454
(904) 346-3662
Mailing address
6144 GAZEBO PARK PL S, SUITE 102, JACKSONVILLE, FL 32257-1099
(904) 396-0454
(904) 346-3662
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0043103
FL
Other
Enumeration date
06/20/2007
Last updated
08/22/2020
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