JONATHAN DIVINE

JACKSONVILLE, FL
NPI1710173968
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS 10858)
Enumeration Date2007-09-21
Last Update Date2025-10-08
Business Address
-- JONATHAN DIVINE D.O.
3059 EDGEWOOD AVE W
JACKSONVILLE, FL 32209-2207
Phone number: 904-647-3180
Mailing Address
-- JONATHAN DIVINE D.O.
3059 EDGEWOOD AVE W
JACKSONVILLE, FL 32209-2207
Phone number: 904-647-3180
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