Organization
FRUIT COVE FAMILY MEDICINE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD J LEVINE M.D. (PRESIDENT)
(904) 287-2794
Entity
Organization
Contact information
Practice address
1400 BISHOP ESTATES RD, JACKSONVILLE, FL 32259-4244
(904) 287-2794
(904) 287-5362
Mailing address
1400 BISHOP ESTATES RD, JACKSONVILLE, FL 32259-4244
(904) 287-2794
(904) 287-5362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME69268
FL
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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