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Individual
DR. BLAISE M KOVAZ
Active
Individual
DR. BLAISE M KOVAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME49497
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011209M
HUMANA
FL
01
—
09415
BC/BS OF FLORIDA
FL
01
—
15892
STAYWELL
FL
01
—
208742
AVMED
FL
05
—
371204400
—
FL
Enumeration date
11/15/2005
Last updated
10/26/2017
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