MEDICARE: DR. DONALD SCOTT COVINGTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	ME 114887	FL
2	208600000X	Surgery Physician	ME14887	FL
3	208600000X	Surgery Physician	95-00541	NC
4	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	95-00541	NC
5	208600000X	Surgery Physician	ME114887	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427058130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD SCOTT COVINGTON MD

Provider Business Mailing Address
First Line	:	1650 MARGARET ST STE 302-187
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-3868
Country	:	US
Telephone Number	:	919-417-1980
Fax Number	:	904-281-9806

Provider Business Practice Location Address
First Line	:	1 SHIRCLIFF WAY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-4748
Country	:	US
Telephone Number	:	352-250-2650
Fax Number	:	904-281-9806

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	05/16/2022

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Directions to “ DR. DONALD SCOTT COVINGTON MD” Practice Location

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