1073567186

Everything you always wanted to know about DEROVANESIAN JACK MD but were afraid to ask.

DEROVANESIAN JACK MD

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Provider Last Name Provider First Name Provider Credential
DEROVANESIAN JACK MD
Gender:
Male
Enumeration date:
2006-05-22
Last update date:
2008-05-12
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
067815500 Medicaid none FL
78470 Other BC BS FL FL

Taxonomies

Taxonomy State License Number Primary?
207P00000X Emergency Medicine FL ME26879 Y

Phone Numbers

Type Number
Practice Location Address Telephone Number 2397752300
Mailing Address Telephone Number 2392624519
Mailing Address Fax Number 2392625672

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 160448 MIAMI FL 33116 FL
Practice Location Address 6400 DAVIS BLVD STE 103 NAPLES FL 0 FL

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1164426912 LINZER, HOWARD
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1699781401 SKIBICKI, RICHARD
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1811050230 RICE, TODD
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1861410656 EMERGENCY PHYSICIANS OF NAPLES
Organization
350 7TH ST N FL NAPLES
1861590317 SIGG, JONATHAN
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350 7TH ST N FL NAPLES
1871533240 SHAVALIER, ALISSA
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1033128996 SPONAUGLE, JOHN
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350 7TH ST N FL NAPLES
1043229156 TURBINER, STEVEN
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1073796546 MEISTER, ANGELA
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1194802975 LEVENTHAL, LAWRENCE
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1295923746 HUSTY, JESSICA
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1356428593 YUSKAITIS, ROBERT
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1386665107 HEIM, MARY
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1437170297 BRADY, STEPHEN
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350 7TH ST N FL NAPLES
1497764930 WALTERS, CAROLYN
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1497853048 IOTT, NANCY
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1518053651 RICHEY-KLEIN, VAL
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350 7TH ST N FL NAPLES
1538186317 MARITATO, CHRISTOPHER
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1548357437 LEWIS, JOHN
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350 7TH ST N FL NAPLES
1558559013 EVERSWICK ESPINETA, CHRISTINA
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99 WILLOUGHBY DRIVE FL NAPLES
1568482990 KREMBS, GERHARD
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350 7TH ST N FL NAPLES
1609893411 PAISAN, CARLOS
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350 7TH ST N FL NAPLES
1629266184 ROSE, LESLIE
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350 7TH ST N FL NAPLES
1699927830 BROWNING, SARAH
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350 7TH ST N FL NAPLES
1740201516 GONZALEZ-VENTURA, LUIS
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350 7TH ST N FL NAPLES
1821109216 CAMINA, TAMARA
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350 7TH ST N FL NAPLES
1861410656 EMERGENCY PHYSICIANS OF NAPLES
Organization
350 7TH ST N FL NAPLES
1861590317 SIGG, JONATHAN
Individual
350 7TH ST N FL NAPLES
1902831522 AROSEMENA, JOSE
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350 7TH ST N FL NAPLES
1922027556 DELARIVAHERRERA, ALBERTO
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1942392709 BETHEL, TODD
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350 7TH ST N FL NAPLES
1225429889 WILSON, MARIA FRANCESCA
Individual
6400 DAVIS BLVD STE 203 FL NAPLES
1326440413 EAKER, MICHAEL
Individual
6400 DAVIS BLVD STE 103 FL NAPLES

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1699759092 NADKARNI, MILAN
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