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Individual

DR. LAWRENCE M LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
580 W 8TH ST, UFJP OPHTHALMLOLOGY, JACKSONVILLE, FL 32209-6533
(904) 244-9390
Mailing address
2023 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073
(904) 272-2020
(904) 276-4386

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME80215
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000780964B
GA
05
254078900
FL
Enumeration date
08/31/2006
Last updated
11/17/2022
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