MEDICARE: JOVAN DUKIC MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	179247	FL

General Provider Information

NPI Number	:	1073215893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOVAN DUKIC MD

Provider Business Mailing Address
First Line	:	6633 FOREST AVE STE 302
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-2612
Country	:	US
Telephone Number	:	727-845-4300
Fax Number	:

Provider Business Practice Location Address
First Line	:	6633 FOREST AVE STE 302
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-2612
Country	:	US
Telephone Number	:	727-845-4300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2023
Last Update Date	:	05/24/2026

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