# PAUL M NOVAKOVICH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023227683
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME108790 | FL | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | 205711 | LA | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 04/12/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003720500 | — | FL |
| 05 | — | 129805 | — | AL |
| 05 | — | 129809 | — | AL |
| 01 | — | 14E9E | BLUE CROSS BLUE SHIELD | FL |
| 01 | — | 593-07447 | BLUE CROSS BLUE SHIELD | AL |
| 01 | — | 593-07448 | BLUE CROSS BLUE SHIELD | AL |