Individual
JOLENE KEIKO GORANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
1304 OAK ST, MELBOURNE, FL 32901-3111
(321) 723-4723
Mailing address
PO BOX 2400, MELBOURNE, FL 32902-2400
(321) 255-9671
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2025052192
MO
367H00000X
Anesthesiologist Assistant
AA 132
FL
Other
Enumeration date
10/17/2012
Last updated
02/10/2026
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