Doctor Name: | JOCELYN E LEVEQUE |
NPI Number: | 1184664310 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 111111111 |
Business Practice Address: | 350 Pensacola Beach Blvd. Suite B Gulf Breeze, FL - 325614882 |
Business Phone Number: | 8509348893 |
Business Fax Number: | 8509348858 |
Mailing Address: | 350 Pensacola Beach Blvd., Suite B GULF BREEZE |
State: | FL |
Postal Code: | 325614882 |
Phone Number: | 8509348893 |
Fax Number: | 8509348858 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 111111111 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |