Individual
L JEROME KROVETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
951 NW 13TH ST, BLDG 1E, BOCA RATON, FL 33486-2337
(561) 416-2144
(561) 416-1372
Mailing address
10151 ENTERPRISE CENTER BOULEVARD, SUITE 101, BOYNTON BEACH, FL 33437-3760
(561) 416-2144
(561) 416-1372
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME10088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040134000
—
FL
01
—
89993
WELL CARE
—
01
—
93707
BC
—
Enumeration date
01/06/2006
Last updated
08/08/2013
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