Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacksonville Internal Medicine

Organization Internal Medicine Physician · NPI 1962607739

Jacksonville Internal Medicine is an Internal Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

6144 Gazebo Park Pl S Ste 102
Jacksonville, FL 32257-1099
Phone: (904) 396-0454
Fax: (904) 346-3662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME0043103 (FL)

Record details

NPI number1962607739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ilene Levenson — Owner · (904) 396-0454
NPI enumeratedJune 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6144 Gazebo Park Pl S, Suite 102, Jacksonville, FL 32257-1099

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