NPI 1326017179 · live from the CMS NPI Registry
Jason Levitre, DPM
Podiatrist, Foot & Ankle Surgery in Jacksonville, FL. National Provider Identifier 1326017179, active.
NPI record
| NPI | 1326017179 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 13400 Sutton Park Dr S Ste 1103, Jacksonville, FL 32224 |
| Practice phone | 904-368-2328 |
| Mailing address | 1890 Lpga Blvd Ste 230, Daytona Beach, FL 32117 |
| Enumerated | March 15, 2006 |
| Last updated | March 31, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 127 (WY) |
| Podiatrist | 213E00000X | PO3945 (FL) |
| 213ES0131X | 127 (WY) | |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | PO3945 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.