Individual
DR. MICHAEL ANDREW ILLOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7011 A C SKINNER PKWY, SUITE 160, JACKSONVILLE, FL 32256-6954
(904) 493-3333
(904) 493-2222
Mailing address
PO BOX 551308, JACKSONVILLE, FL 32255-1308
(904) 493-3333
(904) 493-2222
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME74432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004802800
—
FL
Enumeration date
01/13/2006
Last updated
10/01/2015
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