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Organization
K JEAN JOVIAK MD PA
Active
Organization
K JEAN JOVIAK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARLA JEAN JOVIAK MD (PRESIDENT/MD)
(352) 239-4659
Entity
Organization
Contact information
Practice address
860 S VILLAGE DR N, 105, ST PETERSBURG, FL 33716-3024
(352) 239-4659
(352) 237-4055
Mailing address
PO BOX 770584, OCALA, FL 34477-0584
(352) 239-4659
(352) 237-4055
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105204
UNITED
FL
05
—
045854600
—
FL
01
—
080108978
RAILROAD MEDICARE
FL
01
—
1792714
CIGNA
FL
01
—
62326
BLUE CROSS BLUE SHIELD
FL
01
—
961280
AETNA
FL
Enumeration date
07/24/2007
Last updated
05/06/2014
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