K JEAN JOVIAK MD PA NPI 1205036555

NPI Information

NPI: 1205036555
Provider Name: K JEAN JOVIAK MD PA
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
860 S VILLAGE DR N
105
ST PETERSBURG, FL
ZIP 33716
Phone: (352) 239-4659
Get Directions

K JEAN JOVIAK MD PA is an adult medicine family medicine in St Petersburg, FL. The provider is definition to come. K JEAN JOVIAK MD PA NPI is 1205036555. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

860 S VILLAGE DR N
105
ST PETERSBURG, FL
ZIP 33716-024
Phone: (352) 239-4659
Fax: (352) 237-4055

The provider's authorized official is Karla Jean Joviak .
The authorized official title is President/md and has the following contact phone number (352) 239-4659.

The enumeration date for this NPI number is 7/24/2007 and was last updated on 5/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	961280	OTHER	FLORIDA	AETNA
2	0105204	OTHER	FLORIDA	UNITED
3	080108978	OTHER	FLORIDA	RAILROAD MEDICARE
4	1792714	OTHER	FLORIDA	CIGNA
5	62326	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
6	=========K	OTHER	FLORIDA	HUMANA
7	AD571	MEDICARE PIN	FLORIDA
8	045854600	MEDICAID	FLORIDA
9	62326X	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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