Provider Demographics
NPI:1235594094
Name:LOVETT, BRITTANY A (DPM)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:A
Last Name:LOVETT
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6270 AUTUMN BERRY CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-8413
Mailing Address - Country:US
Mailing Address - Phone:609-969-8990
Mailing Address - Fax:
Practice Address - Street 1:1409 KINGSLEY AVE STE 6B
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4592
Practice Address - Country:US
Practice Address - Phone:904-329-1391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-22
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3999213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty