Levine, Donald Jacocks

Levine, Donald Jacocks is an individual health care provider with primary practice located at 30 Ardisia Lane , St. Johns FL 32259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Levine, Donald Jacocks can be contacted via phone (904) 287-2794.

Contact Information

Primary practice address
30 Ardisia Lane St. Johns FL 32259
Phone: (904) 287-2794
Fax: (904) 390-7458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0069268 Florida

Profile Details

NPI number 1982673745
LBN Legal business name Levine, Donald Jacocks
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Sep 9th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982673745 NPPES
Florida Other P00469532 RR MEDICARE

Popular Providers