Individual
JOHN M KOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12206 BRUCE B DOWNS BLVD, STE 101, TAMPA, FL 33612-9211
(813) 971-8276
(813) 971-8277
Mailing address
4031 UPPER CREEK DR, SUN CITY CENTER, FL 33573-6819
(813) 633-2733
(813) 642-0367
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME37669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045208400
—
FL
01
—
15211
ALL FLORIDA PPO
FL
01
—
208700
AVMED
FL
01
—
300126984
RAILROAD MEDICARE
FL
01
—
30746
BLUE CROSS BLUE SHIELD
FL
01
—
4129443
AETNA
FL
Enumeration date
10/14/2005
Last updated
08/05/2010
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