Provider Demographics
NPI:1891918140
Name:LOVEJOY, JOHN FLETCHER JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FLETCHER
Last Name:LOVEJOY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6408 SAN JOSE BLVD WEST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217
Mailing Address - Country:US
Mailing Address - Phone:904-608-0055
Mailing Address - Fax:904-730-5991
Practice Address - Street 1:4901 RICHARD STREET
Practice Address - Street 2:SPECIALTY HOSPITAL
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-7328
Practice Address - Country:US
Practice Address - Phone:904-730-5755
Practice Address - Fax:904-730-5991
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0012984207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
D61923Medicare UPIN
16925Medicare ID - Type Unspecified