Individual
HENRY JOVANY JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 287-5200
Mailing address
500 SE OSCEOLA ST, STUART, FL 34994-2364
(772) 286-1550
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
ME127093
FL
208M00000X
Hospitalist Physician
Primary
ME127093
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2MTEZ
FLORIDA BLUE
FL
Enumeration date
05/07/2014
Last updated
06/13/2024
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