Individual
JACOB HLAVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5831 BEE RIDGE RD STE 300, SARASOTA, FL 34233-5090
(941) 378-5100
(941) 378-2805
Mailing address
5831 BEE RIDGE RD STE 300, SARASOTA, FL 34233-5090
(941) 378-5100
(941) 378-2805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107443
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4913847
AETNA
FL
01
—
5712135
CIGNA
FL
01
—
P01374271
RR MEDICARE
FL
01
—
P1020872
FREEDOM
FL
01
—
P959331
OPTIMUM
FL
Enumeration date
10/29/2013
Last updated
08/01/2019
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