Individual provider Active NPI

David Leduke

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1962298745
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11038972 Issued in FL
Practice address
2023 Myra St
Jacksonville, FL 32204-3714
Phone
(904) 503-5464
Fax
(904) 575-4399
NPI assigned
Apr 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11038972 FL Primary

Addresses

Primary practice location

2023 Myra St
Jacksonville, FL 32204-3714

Mailing address

2023 Myra St
Jacksonville, FL 32204-3714
Phone (904) 503-5464

Other practice location 1

4745 Sutton Park Ct Ste 501
Jacksonville, FL 32224-0251
Phone (904) 503-5464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602003307 FL Practitioner - Nurse Practitioner 0143739003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seven Bridges Pain Specialists LLCGroup PAC ID 7416329909, 4 clinicians

Practice addresses (Care Compare)

2023 Myra St
Jacksonville, FL 32204-3714
Phone (904) 503-5464

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11038972FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Bridges Pain Specialists LLC CurrentSince May 27, 2025 Accepting new patients
Seven Bridges Pain Specialists LLC PastSince May 1, 2023 Accepting new patients

Locations

4745 Sutton Park Ct
Ste 501
Jacksonville, FL 32224
Phone (904) 503-5464

2023 Myra St
Jacksonville, FL 32204
Phone (904) 356-3318

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1962298745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 MYRA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043714",
            "telephone_number": "904-503-5464",
            "fax_number": "904-575-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 MYRA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043714",
            "telephone_number": "904-503-5464",
            "fax_number": "904-575-4399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4745 Sutton Park Ct Ste 501",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322240251",
            "country_code": "US",
            "telephone_number": "904-503-5464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDUKE",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11038972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.