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Individual

DR. JESSICA JANE KOVARIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13421 PARKER COMMONS BLVD STE 101, FORT MYERS, FL 33912-2076
(239) 789-1410
(239) 789-1408
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6050
(239) 343-6883

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME120430
FL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
ME120430
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013212700
FL
Enumeration date
07/06/2009
Last updated
12/07/2023
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