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Dr. Jerry Leventhal, MD
Family Medicine Physician in Palm Coast, Florida
NPI 1558364265

Jerry Leventhal is a Family Medicine Physician based in Palm Coast, FL. Jerry Leventhal practices in Palm Coast, FL and has the professional credentials of MD. The NPI Number for Jerry Leventhal is 1558364265 and holds a License No. ME69470 (Florida).

The current practice location address for Jerry Leventhal is 21 Hospital Drive, Palm Coast, FL and can be reached out via phone at 386-437-4711 and via fax at 386-437-4772.

Location: 21 Hospital Drive, Palm Coast, FL, 32164-2452
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558364265
Provider Name
Jerry Leventhal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
21 Hospital Drive, Palm Coast, FL, 32164-2452
Phone Number
386-437-4711
Fax Number
386-437-4772
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
277845900 05 FL
28165 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
21 Hospital Drive
City
Palm Coast
State
Florida
Zip
32164
Phone Number
386-437-4711
Fax Number
386-437-4772
person
Provider Business Mailing Address Details
Address
21 Hospital Drive
City
Palm Coast
State
Florida
Zip
32164
Phone Number
386-437-4711
Fax Number
386-437-4772
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME69470 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME69470 (Florida)
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 is not limited by age, sex, organ system, or disease entity.
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