Jonathan Divine in Jacksonville - Family Medicine
Jonathan Divine - NPI 1710173968
Jonathan Divine is a Family Medicine in Jacksonville, Florida. Jonathan Divine practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jonathan Divine is 1710173968. The last update date is 2014-05-22.
Jonathan Divine's current location address is 9560 Crosshill Blvd Ste 110, Jacksonville, Florida. You can contact this provider via phone number 9043087792 and fax number 9047797335. The mailing address for Jonathan Divine is 9560 Crosshill Blvd Ste 110, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jonathan Divine |
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Address | 9560 Crosshill Blvd Ste 110, Jacksonville, Florida |
Phone Number | 9043087792 |
Fax Number | 9047797335 |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1710173968 |
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Provider Enumeration Date | 2007-09-21 |
Last Updated Date | 2014-05-22 |
Provider Mailing Address Detail
Address | 9560 Crosshill Blvd Ste 110 |
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City | Jacksonville |
State | Florida (FL) |
Post Code | 322225827 |
Phone Number | 9043087792 |
Fax Number | 9047797335 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | UO 1671 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identifier code assigned to Jonathan Divine by the Centers for Medicare & Medicaid Services?
The Jonathan Divine has been issued the NPI (National Provider Identifier) 1710173968 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jonathan Divine's facilities are geographically located?
The facilities of Jonathan Divine are physically situated at the following location: 9560 Crosshill Blvd Ste 110, Jacksonville, FL, 322225827.
What is Jonathan Divine's area of expertise and its corresponding taxonomy classification?
The Jonathan Divine's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1710173968 to Jonathan Divine?
The Jonathan Divine received its 1710173968 assignment from the Centers for Medicare & Medicaid Services on 2007-09-21.
When was the information regarding Jonathan Divine most recently updated?
The details pertaining to the Jonathan Divine, including its address, specialty, and other relevant information, were last refreshed on 2014-05-22.