Jonathan Divine, DO | |
9560 Crosshill Blvd Ste 110, Jacksonville, FL 32222-5827 | |
(904) 308-7792 | |
(904) 779-7335 |
Full Name | Jonathan Divine |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 9560 Crosshill Blvd Ste 110, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710173968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | UO 1671 (Florida) | Secondary |
207Q00000X | Family Medicine | OS 10858 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Florida First Care Inc | Orange park, FL | Home health agency |
Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
Ed Fraser Memorial Hospital | Macclenny, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent's Ambulatory Care Inc | 2860411188 | 275 |
Entity Name | St Vincent's Ambulatory Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Entity Name | St Vincents Physician Enterprise Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477878486 PECOS PAC ID: 2668664962 Enrollment ID: O20101005000809 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Divine, DO 9560 Crosshill Blvd Ste 110, Jacksonville, FL 32222-5827 Ph: (904) 308-7792 | Jonathan Divine, DO 9560 Crosshill Blvd Ste 110, Jacksonville, FL 32222-5827 Ph: (904) 308-7792 |
Dr. Wissam M Shaya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4235 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-322-8555 Fax: 904-322-8578 | |
Kristie Driver, M.D.,M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210 Phone: 904-384-5222 Fax: 904-384-6468 | |
Dr. Neal Raj Verma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2624 Atlantic Blvd, Jacksonville, FL 32207 Phone: 954-513-3240 Fax: 904-398-7871 | |
Timothy Davlantes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Marcia Wayne Funderburk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208 Phone: 904-244-5802 Fax: 904-244-5791 | |
Dr. Terry Dale Hashey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9130 Rg Skinner Parkway, Jacksonville, FL 32256 Phone: 904-538-0950 Fax: 904-538-0952 | |
Dr. Christopher Patrick Carroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 |