Jerry Leventhal in Palm Coast - Family Medicine
Jerry Leventhal - NPI 1558364265
Jerry Leventhal is a Family Medicine in Palm Coast, Florida. Jerry Leventhal practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerry Leventhal is 1558364265. The last update date is 2021-04-12.
Jerry Leventhal's current location address is 21 Hospital Dr, Palm Coast, Florida. You can contact this provider via phone number 3864374711 and fax number 3867675580. The mailing address for Jerry Leventhal is 21 Hospital Dr, Palm Coast, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Leventhal |
|---|---|
| Address | 21 Hospital Dr, Palm Coast, Florida |
| Phone Number | 3864374711 |
| Fax Number | 3867675580 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558364265 |
|---|---|
| Provider Enumeration Date | 2005-05-27 |
| Last Updated Date | 2021-04-12 |
Provider Mailing Address Detail
| Address | 21 Hospital Dr |
|---|---|
| City | Palm Coast |
| State | Florida (FL) |
| Post Code | 3216424520 |
| Phone Number | 3864374711 |
| Fax Number | 3867675580 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME69470 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 277845900 | FL | -- | |
| 28165 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerry Leventhal by the Centers for Medicare & Medicaid Services?
The Jerry Leventhal has been issued the NPI (National Provider Identifier) 1558364265 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jerry Leventhal?
The Jerry Leventhal is situated at 21 Hospital Dr, in the city of Palm Coast, state of FL, with the zip code 3216424520.
What is the Jerry Leventhal's area of specialization and corresponding taxonomy classification?
The Jerry Leventhal's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jerry Leventhal receive its 1558364265 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Leventhal was assigned its 1558364265 by the Centers for Medicare & Medicaid Services on 2005-05-27.
As of what date were the details related to Jerry Leventhal most recently updated or revised?
The information pertaining to Jerry Leventhal, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-12.