Provider Demographics
NPI:1538162664
Name:LEFEVER, SONYA L (MD)
Entity type:Individual
Prefix:DR
First Name:SONYA
Middle Name:L
Last Name:LEFEVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SONYA
Other - Middle Name:L
Other - Last Name:CVERCKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1824 KING ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-4735
Mailing Address - Country:US
Mailing Address - Phone:904-388-1820
Mailing Address - Fax:904-388-1827
Practice Address - Street 1:1824 KING ST
Practice Address - Street 2:SUITE 300
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4735
Practice Address - Country:US
Practice Address - Phone:904-388-1820
Practice Address - Fax:904-388-1827
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90417207RC0000X
GA045437207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA312678467AMedicaid
FL48964OtherBCBS
FL7336622OtherAETNA
FL294068OtherAVMED
FL270073500Medicaid
GA312678467AMedicaid
FLI12609Medicare UPIN
FLU2901ZMedicare PIN
FL294068OtherAVMED