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1427058130

NPI Code Detail

MEDICARE: DR. DONALD SCOTT COVINGTON MD

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

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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