Individual
BILLY E. IVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1921 WALDEMERE ST STE 504, SARASOTA, FL 34239-2941
(941) 917-8525
(941) 917-8526
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
146165
NC
363AS0400X
Surgical Physician Assistant
Primary
PA9102865
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U3528
BCBS FL
FL
Enumeration date
06/24/2006
Last updated
01/22/2026
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