Individual
DR. JASON LEVITRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13400 SUTTON PARK DR S STE 1103, JACKSONVILLE, FL 32224-0235
(904) 368-2328
Mailing address
1890 LPGA BLVD STE 230, DAYTONA BEACH, FL 32117-7131
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
127
WY
213E00000X
Podiatrist
PO3945
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3945
FL
213ES0131X
Foot Surgery Podiatrist
127
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022468300
—
FL
05
—
121784400
—
WY
01
—
P00253865
RAILROAD MEDICARE
WY
01
—
PO3945
MEDICAL LICENCE
FL
Enumeration date
03/15/2006
Last updated
03/31/2021
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