Healthcare Provider Details

I. General information

NPI: 1538162664
Provider Name (Legal Business Name): SONYA L LEFEVER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SONYA L CVERCKO MD

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 02/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1824 KING ST SUITE 300
JACKSONVILLE FL
32204-4735
US

IV. Provider business mailing address

1824 KING ST SUITE 300
JACKSONVILLE FL
32204-4735
US

V. Phone/Fax

Practice location:
  • Phone: 904-388-1820
  • Fax: 904-388-1827
Mailing address:
  • Phone: 904-388-1820
  • Fax: 904-388-1827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME90417
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number045437
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: