Fruit Cove Family Medicine P a
NPI 1629195300 · Family Medicine Physician · Jacksonville, FL
Fruit Cove Family Medicine P a is a Family Medicine Physician organization in Jacksonville, FL (NPI 1629195300).
Provider details
- NPI number
- 1629195300
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Levine, President(904) 287-2794
- License
- ME69268 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Fruit Cove Family Medicine P a's NPI number?
- Fruit Cove Family Medicine P a's National Provider Identifier (NPI) is 1629195300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fruit Cove Family Medicine P a?
- Fruit Cove Family Medicine P a is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fruit Cove Family Medicine P a located?
- Fruit Cove Family Medicine P a's practice location on file with NPPES is 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244.
- What is Fruit Cove Family Medicine P a's phone number?
- The practice phone number listed in the NPPES registry for Fruit Cove Family Medicine P a is (904) 287-2794.
- Who is the authorized official for Fruit Cove Family Medicine P a?
- The authorized official listed on Fruit Cove Family Medicine P a's NPPES record is Donald Levine, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fruit Cove Family Medicine P a's NPI active?
- Yes — Fruit Cove Family Medicine P a's NPI (1629195300) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.