MEDICARE: LOVELY JOJI

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	363LF0000X	Family Nurse Practitioner	APRN11004122	FL

General Provider Information

NPI Number	:	1255974119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOVELY JOJI

Provider Business Mailing Address
First Line	:	1038 CAPE COD TER
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33413-3022
Country	:	US
Telephone Number	:	561-309-9689
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 45TH ST STE A 8/9
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2016
Country	:	US
Telephone Number	:	561-840-8681
Fax Number	:	561-844-0764

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

Provider Enumeration Date	:	10/23/2019
Last Update Date	:	10/23/2019

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Directions to “ LOVELY JOJI ” Practice Location

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