Individual
JEFFREY HERSCHEL LEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 OAK ST STE 200, JACKSONVILLE, FL 32204-3361
(904) 366-3781
Mailing address
751 OAK ST STE 200, JACKSONVILLE, FL 32204-3361
(904) 366-3781
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0052225
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07299W
MEDICARE ID
FL
05
—
261362000
—
FL
Enumeration date
09/25/2006
Last updated
12/11/2008
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