JONATHAN DIVINE, D.O.
Family Medicine
Active
Individual
NPI: 1710173968
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | OS 10858 (FL) |
Frequently Asked Questions
NPI 1710173968 is the National Provider Identifier for JONATHAN DIVINE, D.O., a Family Medicine provider located in Jacksonville, FL. This NPI was enumerated on September 21, 2007.
JONATHAN DIVINE, D.O. practices at 3059 EDGEWOOD AVE W, Jacksonville, FL 32209.
Quick Facts
- NPI
- 1710173968
- Type
- Individual
- Enumerated
- Sep 21, 2007
- Last Updated
- Oct 8, 2025
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