Organization
NOVARI CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DISTEFANO (BUSINESS MANAGER)
(523) 173-2143
Entity
Organization
Contact information
Practice address
1306 E SILVER SPRINGS BLVD # 103, OCALA, FL 34470-6800
(352) 403-1330
Mailing address
PO BOX 344, SPARR, FL 32192-0344
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100810000
—
FL
Enumeration date
07/24/2019
Last updated
10/21/2025
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