Individual
DR. CRYSTAL ANN JACOVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4912 EBENSBURG DR, TAMPA, FL 33647-1381
(727) 992-7493
(727) 378-9630
Mailing address
4912 EBENSBURG DR, TAMPA, FL 33647-1381
(727) 992-7493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS12959
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
OS12959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013684400
—
FL
01
—
14XZ6
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/14/2009
Last updated
11/13/2025
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