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

Dr. Jerry Leventhal, MD

Individual provider Specialist · NPI 1558364265

Dr. Jerry Leventhal, MD is a Family Practice in Palm Coast, Florida. Qualified in 1989, 37 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
37
Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21 Hospital Dr Ste 280
Palm Coast, FL 32164
Phone: (386) 437-4711
Fax: (386) 437-4772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME69470 (FL)
Specialist Taxonomy 174400000X · Licence ME69470 (FL)

Record details

NPI number1558364265
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021
Mailing address21 Hospital Dr, Ste 280, Palm Coast, FL 32164-2452

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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