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NPI Code Detail

MEDICARE: DR. ZENAIDA L LAVINA MD

MEDICARE:  DR. ZENAIDA L LAVINA  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
1208000000XPediatrics PhysicianME46987FL

Other Identifiers

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

General Provider Information

NPI Number : 1942247234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZENAIDA L LAVINA MD
Provider Business Mailing Address
First Line : PO BOX 1978
Second Line :
City : MIDDLEBURG
State : FL
Zip : 32050-1978
Country : US
Telephone Number : 904-282-6331
Fax Number : 904-282-1550
Provider Business Practice Location Address
First Line : 10250 NORMANDY BLVD
Second Line : SUITE 201
City : JACKSONVILLE
State : FL
Zip : 32221-8059
Country : US
Telephone Number : 904-861-1034
Fax Number : 904-861-1037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 08/18/2009

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Directions to “ DR. ZENAIDA L LAVINA MD” Practice Location

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