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NPI Code Detail

MEDICARE: DR. JOHN FLETCHER LOVEJOY JR. MD

MEDICARE: DR. JOHN FLETCHER LOVEJOY JR. 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
1207X00000XOrthopaedic Surgery PhysicianME0012984FL

General Provider Information

NPI Number : 1891918140
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN FLETCHER LOVEJOY JR. MD
Provider Business Mailing Address
First Line : 6408 SAN JOSE BLVD WEST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217
Country : US
Telephone Number : 904-608-0055
Fax Number : 904-730-5991
Provider Business Practice Location Address
First Line : 4901 RICHARD STREET
Second Line : SPECIALTY HOSPITAL
City : JACKSONVILLE
State : FL
Zip : 32207-7328
Country : US
Telephone Number : 904-730-5755
Fax Number : 904-730-5991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/08/2007

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