Levitre, Jason
Levitre, Jason is an individual health care provider with primary practice located at 13400 Sutton Park Dr S Ste 1103 , Jacksonville FL 32224-0235. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Levitre, Jason can be contacted via phone (904) 368-2328.Contact Information
Primary practice address
13400 Sutton Park Dr S Ste 1103
Jacksonville FL 32224-0235
Phone: (904) 368-2328
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 127 | Wyoming |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO3945 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 127 | Wyoming |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO3945 | Florida |
Profile Details
| NPI number | 1326017179 |
|---|---|
| LBN Legal business name | Levitre, Jason |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Mar 31st, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326017179 | NPPES |
| Wyoming | MEDICAID | 121784400 | |
| Wyoming | MEDICAID | 022468300 | |
| Wyoming | Other | P00253865 | |
| Wyoming | Other | PO3945 |
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