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Organization
JOLITA KLEMENTAVICIENE MD PA
Active
Organization
JOLITA KLEMENTAVICIENE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLITA KLEMENTAVICIENE MD (OWNER)
(850) 934-9050
Entity
Organization
Contact information
Practice address
1118 GULF BREEZE PKWY, SUITE 205, GULF BREEZE, FL 32561-7800
(850) 934-9050
(850) 934-9580
Mailing address
1118 GULF BREEZE PKWY, SUITE 205, GULF BREEZE, FL 32561-7800
(850) 934-9050
(850) 934-9580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME77898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257666000
—
FL
Enumeration date
11/06/2007
Last updated
09/10/2008
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